Lynn Fletcher, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN281395 Issued in GA

Practice address

80 Huxford St
Homerville, GA 31634

Phone

(912) 470-2273

Fax

(912) 470-2630

NPI assigned

Feb 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Eastern Connecticut Medical Professionals Foundation Inc

  dba Eastern CT Medical Professionals

  • Family Medicine Physician
  • Manchester, CT
  • NPI 1770557712
  NPD (past)
• Eastern Connecticut Medical Professionals Foundation, Inc

  dba Eastern Orthopeadics and Sports Medicine, PC

  • Specialist
  • South Windsor, CT
  • NPI 1497864516
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1174595722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HUXFORD ST",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316342356",
            "telephone_number": "912-470-2273",
            "fax_number": "912-470-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUXFORD ST",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "31634",
            "telephone_number": "912-470-2273",
            "fax_number": "912-470-2630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Hebron Ave.",
            "address_2": "SUITE 300",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060332176",
            "country_code": "US",
            "telephone_number": "860-657-0764",
            "fax_number": "860-430-1736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "002502",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN281395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004224698",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00057595",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clinch Healthcare, LLC (Clinch Healthcare Center)
• Clinch Medical Practice
• Samuel Cobarrubias, M.D.
• Dva Renal Healthcare Inc (Homerville Dialysis)
• Mark S Faulk, RPH
• Golden Isles Chiropractic
• Georgia Griffis, PA
• Elesha Renee Harris, LCSW
• Infinity Medical Equipment
• Julie Jill English Knight, PHARMD

• Adult Health Nurse Practitioner in Homerville, GA
• Providers in Homerville, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.