Provider Demographics
NPI:1811548514
Name:LYNCH, GENEVA ANN (MSN, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:GENEVA
Middle Name:ANN
Last Name:LYNCH
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
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 340
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42702-0340
Mailing Address - Country:US
Mailing Address - Phone:270-506-2730
Mailing Address - Fax:270-900-0704
Practice Address - Street 1:1013 GRANITE DR
Practice Address - Street 2:
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004-2013
Practice Address - Country:US
Practice Address - Phone:502-349-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-24
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3013870363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health