Provider Demographics
NPI:1659600328
Name:TIMMONS, ERINN SOPHIA (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:ERINN
Middle Name:SOPHIA
Last Name:TIMMONS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 CELEBRATION PL STE 103
Mailing Address - Street 2:
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-5432
Mailing Address - Country:US
Mailing Address - Phone:407-303-4655
Mailing Address - Fax:407-303-4654
Practice Address - Street 1:410 CELEBRATION PL STE 103
Practice Address - Street 2:
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-5432
Practice Address - Country:US
Practice Address - Phone:407-303-4655
Practice Address - Fax:407-303-4654
Is Sole Proprietor?:No
Enumeration Date:2009-12-09
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHFO809362363LF0000X
FLARNP9360354363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH088470Medicare PIN