Healthcare Provider Details

I. General information

NPI: 1205859907
Provider Name (Legal Business Name): LYNNE WILLIAMS SEYMOUR A.P.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 N COLLEGE AVE 116A
FAYETTEVILLE AR
72703-1944
US

IV. Provider business mailing address

381 WANDERING WAY
ELKINS AR
72727-2969
US

V. Phone/Fax

Practice location:
  • Phone: 479-444-5048
  • Fax: 479-444-5039
Mailing address:
  • Phone: 479-571-8127
  • Fax: 479-444-5039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberS01087
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: