Healthcare Provider Details

I. General information

NPI: 1831820638
Provider Name (Legal Business Name): LYNNETT ANNE FERRELL APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2022
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N MAGNOLIA AVE
ORLANDO FL
32803-3851
US

IV. Provider business mailing address

801 N MAGNOLIA AVE
ORLANDO FL
32803-3851
US

V. Phone/Fax

Practice location:
  • Phone: 321-800-2922
  • Fax: 888-972-6451
Mailing address:
  • Phone: 321-800-2922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3017960
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11047371
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: