Smith, Lynette S

Smith, Lynette S is an individual health care provider with primary practice located at 2642 Chandler Dr Apt 1814 , Bowling Green KY 42104-6257. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Smith, Lynette S can be contacted via phone (812) 021-0222.

Contact Information

Primary practice address
2642 Chandler Dr Apt 1814 Bowling Green KY 42104-6257
Phone: (812) 021-0222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3007259 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007259 Kentucky

Profile Details

NPI number 1336165232
LBN Legal business name Smith, Lynette S
Credentials PHD, PMHNP, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jan 7th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336165232 NPPES
Indiana Other 000000543710 ANTHEM PIN
Indiana MEDICAID 200334480A ANTHEM PIN

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