Individual
MRS. LYNNDA JEAN GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APMHNP
Contact information
Practice address
2560 24TH ST, STE 101, ROCK ISLAND, IL 61201-5357
(951) 212-0475
Mailing address
3340 SERENITY PL, ROCK ISLAND, IL 61201-2027
(951) 212-0475
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
537491
CA
163W00000X
Registered Nurse
R899668
MS
163WC1500X
Community Health Registered Nurse
59939
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
16282
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R899668
MS
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
2428
CA
Other
Enumeration date
04/04/2015
Last updated
03/21/2017
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