Healthcare Provider Details

I. General information

NPI: 1669384608
Provider Name (Legal Business Name): JENNIFER BREE LYNCH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7012 PALM KEY AVE
OLDSMAR FL
34677-4913
US

IV. Provider business mailing address

7012 PALM KEY AVE
OLDSMAR FL
34677-4913
US

V. Phone/Fax

Practice location:
  • Phone: 760-212-0992
  • Fax:
Mailing address:
  • Phone: 760-212-0992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9330796
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: