Healthcare Provider Details

I. General information

NPI: 1922932300
Provider Name (Legal Business Name): SHIRLEY NICOLE LYNCH-FERRELL RN,FNP-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 LAKE SHORE DR APT 1212
WEST PALM BEACH FL
33403-3606
US

IV. Provider business mailing address

220 LAKE SHORE DR APT 1212
WEST PALM BEACH FL
33403-3606
US

V. Phone/Fax

Practice location:
  • Phone: 407-406-2195
  • Fax:
Mailing address:
  • Phone: 407-406-2195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LS0200X
TaxonomySchool Nurse Practitioner
License Number9619517
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: