Provider Demographics
NPI:1679087084
Name:ZINK-LOBO, EMILY ROSE (APRN)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:ROSE
Last Name:ZINK-LOBO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:ROSE
Other - Last Name:ZINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:152 LAUREL LN
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32082-3908
Mailing Address - Country:US
Mailing Address - Phone:904-333-6542
Mailing Address - Fax:
Practice Address - Street 1:228 3RD AVE N STE 100
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-7045
Practice Address - Country:US
Practice Address - Phone:904-853-6130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-21
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9365823363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily