Provider Demographics
NPI:1326376914
Name:GIFFIN, LYNNETTE MARSHALL (APN)
Entity Type:Individual
Prefix:MS
First Name:LYNNETTE
Middle Name:MARSHALL
Last Name:GIFFIN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4100 JOHNSON RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2356
Mailing Address - Country:US
Mailing Address - Phone:740-266-8004
Mailing Address - Fax:740-266-8005
Practice Address - Street 1:4100 JOHNSON RD
Practice Address - Street 2:SUITE 200
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2356
Practice Address - Country:US
Practice Address - Phone:740-266-8004
Practice Address - Fax:740-266-8005
Is Sole Proprietor?:No
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA05073NP363LA2100X
OHCOA04189NS364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical