Individual
MS. CONNIE G LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
17C BRENTSHIRE SQUARE, JACKSON, TN 38305-2273
(731) 664-1717
(731) 664-7114
Mailing address
17C BRENTSHIRE SQUARE, JACKSON, TN 38305-2273
(731) 664-1717
(731) 664-7114
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
050897
TX
367500000X
Certified Registered Nurse Anesthetist
79059
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
9522
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507512
—
TN
05
—
1511639
—
TN
05
—
74001009
—
KY
Enumeration date
07/24/2006
Last updated
06/10/2020
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