Individual
MRS. LORIN JHON WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6701 AIRPORT BLVD STE D330, MOBILE, AL 36608-6758
(251) 607-9797
Mailing address
3715 DAUPHIN ST STE 1100, MOBILE, AL 36608-1785
(251) 607-9797
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-115011
AL
363LA2100X
Acute Care Nurse Practitioner
1-115011
AL
363LF0000X
Family Nurse Practitioner
1-115011
AL
363LG0600X
Gerontology Nurse Practitioner
1-115011
AL
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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