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Individual
CAROL LYNN
Active
Individual
CAROL LYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14195
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q057509
—
TN
Enumeration date
04/01/2009
Last updated
08/03/2024
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