Provider Demographics
NPI:1548651250
Name:EY, DANA LYNN (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:LYNN
Last Name:EY
Suffix:
Gender:
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 ASHWORTH DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-0435
Mailing Address - Country:US
Mailing Address - Phone:302-604-0429
Mailing Address - Fax:
Practice Address - Street 1:218 BRIGHTON PARK BLVD STE 101
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-3013
Practice Address - Country:US
Practice Address - Phone:843-264-7973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-17
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0045053163W00000X
MDAC003879363L00000X
DELG-0011709363LF0000X
SC29855363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily