Dicus, Lynn Ellen

Dicus, Lynn Ellen is an individual health care provider with primary practice located at 305 Tyson Ave , Paris TN 38242-4579. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Dicus, Lynn Ellen can be contacted via phone (731) 642-0025.

Contact Information

Primary practice address
305 Tyson Ave Paris TN 38242-4579
Phone: (731) 642-0025
Fax: (731) 644-0899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APN 5352 Tennessee

Profile Details

NPI number 1780665919
LBN Legal business name Dicus, Lynn Ellen
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2005
Last updated Dec 21st, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780665919 NPPES
Tennessee MEDICAID 3903166
Tennessee Other 500011931

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