Provider Demographics
NPI:1730331596
Name:COPE, LYNN (RN)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:COPE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:
Other - Last Name:EVANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:610 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-2594
Mailing Address - Country:US
Mailing Address - Phone:972-315-2543
Mailing Address - Fax:
Practice Address - Street 1:5802 BERRYHILL DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-3925
Practice Address - Country:US
Practice Address - Phone:682-321-7007
Practice Address - Fax:682-321-7036
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-10
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX662677163WS0200X
TX1023837363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WS0200XNursing Service ProvidersRegistered NurseSchool