Lillian Jynes, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A01799 Issued in AR

Practice address

209 N Blake St
Pine Bluff, AR 71601-3226

Phone

(870) 536-6600

NPI assigned

Jun 11, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jefferson Hospital Association, Inc

  • Clinic/Center
  • Pine Bluff, AR
  • NPI 1841235868
  Medicare reassignment NPD
• Jefferson Hospital Association, Inc

  • Rural Health Clinic/Center
  • Crossett, AR
  • NPI 1225799646
  NPD
• Jefferson Hospital Assn, Inc.

  • Surgery Physician
  • Pine Bluff, AR
  • NPI 1962753574
  NPD (past)
• Jefferson Hospital Assn, Inc.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pine Bluff, AR
  • NPI 1982940433
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1033557145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N BLAKE ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716013226",
            "telephone_number": "870-536-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N BLAKE ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716013226",
            "telephone_number": "870-536-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JYNES",
        "first_name": "LILLIAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A01799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda F Jones, R.N.
• Biji Jose, OT
• Heidi Nicole Judkins, M.S. CF-SLP
• Richard D Justiss, MD
• Deidra Sade Jynes
• Noormahal Kabani, M.D.
• Larisa Kachowski, MD
• Carla Christine Karlson
• Muhammad Ahmer Kashif, M.D.
• Daniel Adane Kassa, MD

• Family Nurse Practitioner in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.