Provider Demographics
NPI:1598817991
Name:SCHUSTER, LYNN DIANN (FNP)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:DIANN
Last Name:SCHUSTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:SCHUSTER
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:200 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-6077
Mailing Address - Country:US
Mailing Address - Phone:931-528-7531
Mailing Address - Fax:931-520-7575
Practice Address - Street 1:200 W 10TH ST
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-6077
Practice Address - Country:US
Practice Address - Phone:931-528-7531
Practice Address - Fax:931-520-7575
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN5873363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNAPN5873OtherADVANCE PRACTICE NURSE #
TN3929391OtherCIGNA #
TNRN63460OtherRN LICENSE
TN3929391OtherCIGNA #