| Mr Jacob Lynch, FNP-BC | |
|
14254 Sr 574, Dover, FL 33527-4414 | |
| (813) 653-6100 | |
| (813) 938-6422 |
| Full Name | Mr Jacob Lynch |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 14254 Sr 574, Dover, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912605395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11024484 (Florida) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 12098 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Allina United Hospital | Saint paul, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3584 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jacob Lynch, FNP-BC 211 Kings Row, Seffner, FL 33584-3926 Ph: (616) 432-4211 | Mr Jacob Lynch, FNP-BC 14254 Sr 574, Dover, FL 33527-4414 Ph: (813) 653-6100 |
Ms. Carol Nelson Handley, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14254 Martin Luther King Blvd, Dover, FL 33527 Phone: 813-651-5658 Fax: 813-349-7861 | |
Betsabeth L Treyes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3405 Kearsney Abbey Cir, Dover, FL 33527 Phone: 813-760-3079 | |
Sandi Bernice Lamb-wilson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14254 Dr Martin Luther King Jr Blvd, Dover, FL 33527 Phone: 813-653-6100 | |
Marissa Lawson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14926 Salem Church Rd, Dover, FL 33527 Phone: 401-256-3172 |