Provider Demographics
NPI:1073950002
Name:LYON, JEAN COZAD (APRN)
Entity Type:Individual
Prefix:MS
First Name:JEAN
Middle Name:COZAD
Last Name:LYON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 SUNRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-8727
Mailing Address - Country:US
Mailing Address - Phone:775-771-0346
Mailing Address - Fax:
Practice Address - Street 1:1910 COLLEGE PKWY
Practice Address - Street 2:SUITE 130
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-8022
Practice Address - Country:US
Practice Address - Phone:775-885-6940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-31
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN 0277363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily