Individual
LYNDSEY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 W INTERNATIONAL SPEEDWAY BLVD, DAYTONA BEACH, FL 32124-1026
(407) 906-3755
Mailing address
1619 PHAM DR, PORT ORANGE, FL 32129-7404
(386) 631-8918
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9325516
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11037679
FL
Other
Enumeration date
12/16/2024
Last updated
11/11/2025
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