Healthcare Provider Details
I. General information
NPI: 1003785429
Provider Name (Legal Business Name): DEBORAH LYONS APRN PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/03/2025
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14153 YOSEMITE DR STE 204
HUDSON FL
34667-8069
US
IV. Provider business mailing address
14153 YOSEMITE DR
HUDSON FL
34667-8060
US
V. Phone/Fax
- Phone: 727-955-4551
- Fax:
- Phone: 727-955-4551
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | APRN11042549 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: