Provider Demographics
NPI:1760070064
Name:SCONYERS, FLORENCE LYNETTE (APRN, MSN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:FLORENCE
Middle Name:LYNETTE
Last Name:SCONYERS
Suffix:
Gender:F
Credentials:APRN, MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16609 FINCH AVE
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:IL
Mailing Address - Zip Code:60426-6054
Mailing Address - Country:US
Mailing Address - Phone:219-677-1080
Mailing Address - Fax:
Practice Address - Street 1:16609 FINCH AVE
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:IL
Practice Address - Zip Code:60426-6054
Practice Address - Country:US
Practice Address - Phone:219-677-1080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209021896363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily