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Contact Information

LYNN MARTY, FNP
1500 SOUTHWEST BLVD
SUITE D
JEFFERSON CITY, MO65109
 Phone: 573-632-5780
 Fax: 573-632-5833
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LYNN MARTY · (Female)

NPI # 1568435881
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 02/08/2006
Last updated 06/26/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 067194
  • MO Medicaid 42582680
  • Other 114302 BLUE CROSS BLUE SHIELD
  • Other 1098246 CIGNA
  • Other 338310 HEALTHLINK
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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