Healthcare Provider Details

I. General information

NPI: 1285294744
Provider Name (Legal Business Name): PAULA LYNN TWYMAN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2019
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 KING ST
JACKSONVILLE FL
32204-2410
US

IV. Provider business mailing address

298 INDIAN PARK DR
MURFREESBORO TN
37128-6828
US

V. Phone/Fax

Practice location:
  • Phone: 904-760-4904
  • Fax: 904-930-4607
Mailing address:
  • Phone: 155-715-0786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number828574
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11048502
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN777228
License Number StateNV
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number33877
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: