Healthcare Provider Details

I. General information

NPI: 1972495877
Provider Name (Legal Business Name): LYNEE GEORGE PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2025
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 3RD ST FL 2
SAN FRANCISCO CA
94103-3103
US

IV. Provider business mailing address

95 3RD ST FL 2
SAN FRANCISCO CA
94103-3103
US

V. Phone/Fax

Practice location:
  • Phone: 707-435-3543
  • Fax: 925-307-5235
Mailing address:
  • Phone: 707-435-3543
  • Fax: 925-307-5235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95035723
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: