person
Mrs. Lynsey Renee Sullivan, FNP
Family Nurse Practitioner in Houston, Missouri
NPI 1417492539

Lynsey Renee Sullivan is a Family Nurse Practitioner based in Houston, MO and is specialized in Family. Lynsey Renee Sullivan practices in Houston, MO and has the professional credentials of FNP. The NPI Number for Lynsey Renee Sullivan is 1417492539 and holds a License No. F09161375 (Missouri).

The current practice location address for Lynsey Renee Sullivan is 1337 S Sam Houston Blvd, Houston, MO and can be reached out via phone at 417-967-5435 and via fax at 417-967-5503.

Location: 1337 S Sam Houston Blvd, Houston, MO, 65483-2046
person
Provider Profile Details
NPI Number
1417492539
Provider Name
Lynsey Renee Sullivan
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1337 S Sam Houston Blvd, Houston, MO, 65483-2046
Phone Number
417-967-5435
Fax Number
417-967-5503
Provider Enumeration Date
12/28/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26D0889777 01 MO CLIA
420039764 05 MO
institution
Provider Business Practice Location Address Details
Address
1337 S Sam Houston Blvd
City
State
Zip
65483-2046
Phone Number
417-967-5435
Fax Number
417-967-5503
person
Provider Business Mailing Address Details
Address
1337 S Sam Houston Blvd
City
State
Zip
65483-2046
Phone Number
417-967-5435
Fax Number
417-967-5503
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F09161375 (Missouri)
Definition
Definition to come...
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