Dicus, Lynn Ellen
Dicus, Lynn Ellen is an individual health care provider with primary practice located at 305 Tyson Ave , Paris TN 38242-4579. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Dicus, Lynn Ellen can be contacted via phone (731) 642-0025.Contact Information
Primary practice address
305 Tyson Ave
Paris TN 38242-4579
Phone: (731) 642-0025
Fax: (731) 644-0899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | APN 5352 | Tennessee |
Profile Details
| NPI number | 1780665919 |
|---|---|
| LBN Legal business name | Dicus, Lynn Ellen |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2005 |
| Last updated | Dec 21st, 2009 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780665919 | NPPES |
| Tennessee | MEDICAID | 3903166 | |
| Tennessee | Other | 500011931 |
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