Provider Demographics
NPI:1053767921
Name:HOWARD, LYNN ANN (ARNP, PMHNP, FNP)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:ANN
Last Name:HOWARD
Suffix:
Gender:F
Credentials:ARNP, PMHNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 W CRAIG AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE HELEN
Mailing Address - State:FL
Mailing Address - Zip Code:32744-2410
Mailing Address - Country:US
Mailing Address - Phone:386-295-5605
Mailing Address - Fax:
Practice Address - Street 1:804 DUNLAWTON AVE
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-4931
Practice Address - Country:US
Practice Address - Phone:386-767-8584
Practice Address - Fax:386-767-8536
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-10
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9221334363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health