Provider Demographics
NPI:1134507163
Name:LYNN HUTCHINS PSYCHIATRIC NURSE
Entity Type:Organization
Organization Name:LYNN HUTCHINS PSYCHIATRIC NURSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HUTCHINS
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, PMHNP-BC
Authorized Official - Phone:252-281-5044
Mailing Address - Street 1:PO BOX 8342
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-1342
Mailing Address - Country:US
Mailing Address - Phone:252-281-5044
Mailing Address - Fax:252-558-0242
Practice Address - Street 1:4612 NASH ST N
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-8725
Practice Address - Country:US
Practice Address - Phone:252-281-5044
Practice Address - Fax:252-558-0242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004553364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Single Specialty