Healthcare Provider Details

I. General information

NPI: 1073942660
Provider Name (Legal Business Name): LYNN VAN EPPS CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LYNN STINSON CNP

II. Dates (important events)

Enumeration Date: 11/05/2013
Last Update Date: 10/12/2022
Certification Date: 10/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9727 POTEET JOURDANTON FWY STE 108
SAN ANTONIO TX
78211-4575
US

IV. Provider business mailing address

6101 BLUE LAGOON DR STE 200
MIAMI FL
33126-3168
US

V. Phone/Fax

Practice location:
  • Phone: 210-923-4372
  • Fax: 210-923-5581
Mailing address:
  • Phone: 615-705-1725
  • Fax: 864-725-7707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP131499
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP.15157
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberNP-15157
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: