Provider Demographics
NPI:1528195138
Name:THURMAN, LYNN (RNES)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:THURMAN
Suffix:
Gender:F
Credentials:RNES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 630
Mailing Address - Street 2:
Mailing Address - City:BLOUNTVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37617-0630
Mailing Address - Country:US
Mailing Address - Phone:423-279-2777
Mailing Address - Fax:423-279-2797
Practice Address - Street 1:SULLIVAN COUNTY HEALTH DEPARTMENT
Practice Address - Street 2:BLOUNTVILLE BYPASS 154
Practice Address - City:BLOUNTVILLE
Practice Address - State:TN
Practice Address - Zip Code:37617-0630
Practice Address - Country:US
Practice Address - Phone:423-279-2777
Practice Address - Fax:423-279-2797
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000040655163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3170197Medicare ID - Type Unspecified
TNB58933Medicare UPIN