DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. TANNER JAMES LYNCH STUDENT NP

MEDICARE: MR. TANNER JAMES LYNCH STUDENT NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramAR

General Provider Information

NPI Number : 1578489480
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TANNER JAMES LYNCH STUDENT NP
Provider Business Mailing Address
First Line : 1104 POINT ROYAL LOOP
Second Line :
City : CHARLESTON
State : AR
Zip : 72933-8900
Country : US
Telephone Number : 479-629-5579
Fax Number :
Provider Business Practice Location Address
First Line : 7301 ROGERS AVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-4100
Country : US
Telephone Number : 479-314-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2026
Last Update Date : 06/25/2026

Similar Medicare Providers

1346176732 — SYLVIA NGUYEN
Practice Location Address:
7301 ROGERS AVE
FORT SMITH, AR
72903-4100
Practice Phone: 479-314-6000
Practice Fax:
1770275935 — SARA ELIZABETH ASKINS APRN, CNM
Practice Location Address:
7301 ROGERS AVE
FORT SMITH, AR
72903-4100
Practice Phone: 479-785-2229
Practice Fax: 479-314-3185
1760929822 — MOLLY KYLE BROSSARD NP
Practice Location Address:
7301 ROGERS AVE
FORT SMITH, AR
72903-4100
Practice Phone: 479-573-3083
Practice Fax: 479-314-6159
1932909876 — LIAM BLOEBAUM DO
Practice Location Address:
7301 ROGERS AVE
FORT SMITH, AR
72903-4100
Practice Phone: 479-314-6000
Practice Fax:
1871278051 — KEERTHI SRIPATHI MD
Practice Location Address:
7301 ROGERS AVE
FORT SMITH, AR
72903-4100
Practice Phone: 607-262-7926
Practice Fax:
1558297499 — SHANNAN JOHNSON NP STUDENT
Practice Location Address:
7301 ROGERS AVE
FORT SMITH, AR
72903-4100
Practice Phone: 479-314-6000
Practice Fax:

Directions to “ MR. TANNER JAMES LYNCH STUDENT NP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.