Provider Demographics
NPI:1013559210
Name:ZIMMERS, LYNN TON (PNP)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:TON
Last Name:ZIMMERS
Suffix:
Gender:
Credentials:PNP
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:TON
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:401 W HARGETT ST APT 702
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-4080
Mailing Address - Country:US
Mailing Address - Phone:408-204-3842
Mailing Address - Fax:
Practice Address - Street 1:104 MEDSPRING DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520
Practice Address - Country:US
Practice Address - Phone:919-359-3500
Practice Address - Fax:919-359-3501
Is Sole Proprietor?:No
Enumeration Date:2019-10-09
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26592363LP0200X
NC5015252363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics