Provider Demographics
NPI:1669140489
Name:LYNCH, JAKINNA SHIPARRI (HLPC, MHCS)
Entity type:Individual
Prefix:
First Name:JAKINNA
Middle Name:SHIPARRI
Last Name:LYNCH
Suffix:
Gender:F
Credentials:HLPC, MHCS
Other - Prefix:
Other - First Name:JAKINNA
Other - Middle Name:SHIPARRI
Other - Last Name:LYNCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HLPC, MHCS
Mailing Address - Street 1:130 SOUTHPORT RD
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29306-3861
Mailing Address - Country:US
Mailing Address - Phone:864-497-9823
Mailing Address - Fax:
Practice Address - Street 1:130 SOUTHPORT RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29306-3861
Practice Address - Country:US
Practice Address - Phone:864-497-9823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-06
Last Update Date:2021-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management