Individual provider · Type 1 NPI

Lynn E. Mellencamp, CN.10784-NP

Nurse Practitioner · Cincinnati, OH

NPI number 1821228529 Active

Practice location

9403 Kenwood Rd, Suite B-100
Cincinnati, OH 45242-6895

Fax (513) 891-8110

Mailing address

6056 Tennyson Dr
West Chester, OH 45069-6428

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XCOA.10784-NP (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1821228529

Lynn E. Mellencamp, CN.10784-NP's National Provider Identifier is 1821228529, issued on Jul 16, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cincinnati, OH. The record was last updated on Mar 7, 2017.