Provider Demographics
NPI:1821456583
Name:TAMSYN O'FLYNN, APRN
Entity Type:Organization
Organization Name:TAMSYN O'FLYNN, APRN
Other - Org Name:TAMSYN O'FLYNN, APRN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMSYN
Authorized Official - Middle Name:
Authorized Official - Last Name:O'FLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:910-510-0669
Mailing Address - Street 1:100 MARINERS DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:KINGSLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31548-6666
Mailing Address - Country:US
Mailing Address - Phone:912-510-0669
Mailing Address - Fax:912-510-0754
Practice Address - Street 1:1606 GLOUCESTER ST
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-7145
Practice Address - Country:US
Practice Address - Phone:912-510-0669
Practice Address - Fax:912-510-0754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty