MATTHEW EDWARD FLYNN


Address: 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609
Phone: 6019819503

MATTHEW EDWARD FLYNN (NPI# 1760618292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760618292
Entity Type Individual
Full Name MATTHEW EDWARD FLYNN
Credential FNP, ACNP
Practice Address 971 Lakeland Dr Ste 1052
Jackson
MS 39216-4609
Practice Telephone 6019819503
Practice Fax Number 6019821198
Mailing Telephone 6019819503
Mailing Fax Number 6019821198
Enumeration Date 2009-06-10
Last Update Date 2012-10-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
R860587 MS Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
R860587 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 05156038 05
MS RAILROAD MEDICARE P00775214 01
MS CIGNA 7885550 01

Other Providers MATTHEW FLYNN

NPI Name Taxonomy Address Enumeration
1063928059 Matthew Earl Flynn Physical Therapist 9710 Walthorne Ct, Burke, VA 22015-4044 2017-12-28
1245506237 Matthew James Flynn Internal Medicine 12607 Se Mill Plain Blvd Ste N713, Vancouver, WA 98684-6055 2012-03-24
1689678336 Matthew K Flynn Specialist 5603 Duraleigh Rd, Ste 111, Raleigh, NC 27612-2688 2005-06-10
1912532383 Matthew Flynn Student in an Organized Health Care Education/Training Program 12 Southern Ave, Dorchester, MA 02124-2012 2020-03-06
1750735973 Matthew Flynn Counselor 497 Belleville Ave, New Bedford, MA 02746-5432 2016-04-14
1295975092 Matthew J Flynn Psychologist 12 Alfred St, Suite 200, Woburn, MA 01801-1972 2009-03-06

Office Location

Street Address 971 LAKELAND DR STE 1052
City JACKSON
State MS
Zip Code 39216-4609

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649736919 Lea Womack Nurse Practitioner 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 2019-02-12
1194219584 Gary Bronson Bubba Boggs Nurse Practitioner 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 2018-06-19
1174020770 Brandon Phillip Chambers Nurse Practitioner 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 2018-04-10
1225397961 Jordan Blake Carmean Nurse Practitioner 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 2012-05-15
1275820847 Brandon Pierce Garriga Internal Medicine 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 2011-07-05
1326335902 Charles E. Evans IIi Internal Medicine 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 2011-07-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
Find all providers in zip 39216

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700240397 Veronique Monique Lynch Nurse Practitioner 963 Toms River Rd, Jackson, NJ 08527-5239 2016-04-08
1821423484 Katherine G Lott Nurse Practitioner 6295 Old Canton Rd, Apt 23b, Jackson, MS 39211-2908 2013-09-13
1326649336 Sharron Rena Brown Nurse Practitioner 1225 N State St, Jackson, MS 39202-2097 2020-11-05
1396346607 Ashleigh Renfroe Hannah Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2020-11-03
1770182438 Tara P. Carter Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2020-10-22
1437785508 Katey Andrews Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2020-03-20
1144854498 Katlyn Amason Nurse Practitioner 501 Marshall St Ste 200, Jackson, MS 39202-1687 2020-02-25
1194364554 Erica L Hawkins Nurse Practitioner 900 Cooper St, Jackson, MI 49202-3398 2020-01-03
1023664430 Jennifer Elizabeth Overton Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2019-08-12
1992357370 Tiffany Clayton Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2019-07-15
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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