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Individual

ELLA OLEHONNA LYNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C, PMHNP-BC

Contact information

Practice address
773 OLD MAIN RD, PEMBROKE, NC 28372-8753
(910) 775-9201
(910) 521-8540
Mailing address
PO BOX 3605, PEMBROKE, NC 28372-3605
(910) 740-3508
(910) 521-8540

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0050-00705
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5000705
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5917311
NC
05
7004349
NC
Enumeration date
10/04/2005
Last updated
01/30/2025
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