Flynn, Matthew Edward

Flynn, Matthew Edward is an individual health care provider with primary practice located at 971 Lakeland Dr Ste 1052 , Jackson MS 39216-4609. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Flynn, Matthew Edward can be contacted via phone (601) 981-9503.

Contact Information

Primary practice address
971 Lakeland Dr Ste 1052 Jackson MS 39216-4609
Phone: (601) 981-9503
Fax: (601) 982-1198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R860587 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R860587 Mississippi

Profile Details

NPI number 1760618292
LBN Legal business name Flynn, Matthew Edward
Credentials FNP, ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2009
Last updated Oct 10th, 2012 - about 12 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 1760618292 NPPES
Mississippi MEDICAID 05156038
Mississippi Other 7885550
Mississippi Other P00775214

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