Individual
LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, MS, OGNP
Contact information
Practice address
400 S OYSTER BAY RD, SUITE 106, HICKSVILLE, NY 11801-3500
(516) 937-3881
Mailing address
8 SEITZ DR, BETHPAGE, NY 11714-6017
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F360324-1
NY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F360324-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F360324-1
LICENSE
NY
Enumeration date
12/19/2006
Last updated
05/10/2017
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