Healthcare Provider Details

I. General information

NPI: 1669013595
Provider Name (Legal Business Name): SARAH LYNCH APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2019
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2523 HERSCHEL ST
JACKSONVILLE FL
32204-4509
US

IV. Provider business mailing address

2523 HERSCHEL ST
JACKSONVILLE FL
32204-4509
US

V. Phone/Fax

Practice location:
  • Phone: 904-206-7266
  • Fax: 949-703-8719
Mailing address:
  • Phone: 904-206-7266
  • Fax: 949-703-8719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11004328
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: