Healthcare Provider Details

I. General information

NPI: 1467971010
Provider Name (Legal Business Name): ANN ADAIR ESSARY FLYNT CNM, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2017
Last Update Date: 12/10/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 SCOTT LN STE 105
JACKSON WY
83001-8060
US

IV. Provider business mailing address

PO BOX 7016
JACKSON WY
83002-7016
US

V. Phone/Fax

Practice location:
  • Phone: 307-323-3426
  • Fax: 307-218-7368
Mailing address:
  • Phone: 307-323-3426
  • Fax: 307-218-7368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number39844
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95016943
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number39844.1664
License Number StateWY
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number39844.1664
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: