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NPI Code Detail

MEDICARE: WHITNEY LYON F.N.P.

MEDICARE:   WHITNEY  LYON  F.N.P.
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
1363LF0000XFamily Nurse Practitioner71006930AIN

General Provider Information

NPI Number : 1780124065
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY LYON F.N.P.
Provider Business Mailing Address
First Line : 1507 SPRING STREET
Second Line :
City : JEFFERSONVILLE
State : IN
Zip : 47130-2939
Country : US
Telephone Number : 407-347-4536
Fax Number : 812-285-8392
Provider Business Practice Location Address
First Line : 1507 SPRING STREET
Second Line :
City : JEFFERSONVILLE
State : IN
Zip : 47130-2939
Country : US
Telephone Number : 407-347-4536
Fax Number : 812-285-8392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2017
Last Update Date : 05/13/2024

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Directions to “ WHITNEY LYON F.N.P.” Practice Location

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