Wilson, Stephanie Lynn

Wilson, Stephanie Lynn is an individual health care provider with primary practice located at 4211 Van Dyke Rd Ste 200 , Lutz FL 33558-8005. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wilson, Stephanie Lynn can be contacted via phone (813) 321-6237.

Contact Information

Primary practice address
4211 Van Dyke Rd Ste 200 Lutz FL 33558-8005
Phone: (813) 321-6237
Fax: (813) 463-1801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9479701 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000021911 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9479701 Florida

Profile Details

NPI number 1336685395
LBN Legal business name Wilson, Stephanie Lynn
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2017
Last updated Oct 28th, 2022 - about 4 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 1336685395 NPPES
Florida MEDICAID 107548200

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