Individual
JILL R LYKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
29 KYLE DR, CEDARVILLE, OH 45314-9580
(937) 766-2611
(937) 766-2611
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1309
(937) 522-8940
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA.11560-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.11560
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211286
—
OH
Enumeration date
07/26/2010
Last updated
03/31/2025
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