Healthcare Provider Details

I. General information

NPI: 1598812406
Provider Name (Legal Business Name): LYNN-DELLA HOPE TROTTER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. LYNN H TROTTER

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4114 CLIFDEN DR
ORMOND BEACH FL
32174-9360
US

IV. Provider business mailing address

3627 UNIVERSITY BLVD S STE 200
JACKSONVILLE FL
32216-4256
US

V. Phone/Fax

Practice location:
  • Phone: 386-290-8576
  • Fax:
Mailing address:
  • Phone: 904-296-3200
  • Fax: 904-296-0069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberARNP9179010
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number9179010
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: