Provider Demographics
NPI:1598812406
Name:TROTTER, LYNN DELLA H (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:LYNN DELLA
Middle Name:H
Last Name:TROTTER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:LYNN
Other - Middle Name:H
Other - Last Name:TROTTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3627 UNIVERSITY BLVD S STE 200
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-4256
Mailing Address - Country:US
Mailing Address - Phone:904-296-3200
Mailing Address - Fax:904-296-0069
Practice Address - Street 1:3627 UNIVERSITY BLVD S STE 200
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4256
Practice Address - Country:US
Practice Address - Phone:904-296-3200
Practice Address - Fax:904-296-0069
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9179010363L00000X
FLARNP9179010367A00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner