Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Lynn Buckhannon, LICENCEDPRACTICALN

Individual provider Licensed Practical Nurse · NPI 1467164996

Mary Lynn Buckhannon, LICENCEDPRACTICALN is a Licensed Practical Nurse in Gassaway, West Virginia. Licensed in West Virginia. Registered with an NPI since 2022.

Licensed in
WV
In the registry since
2022

Practice location Address checks out

64 State St
Gassaway, WV 26624-1132
Phone: (304) 364-1063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 24535 (WV)

Record details

NPI number1467164996
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICENCEDPRACTICALN
Sole proprietorNo
NPI enumeratedDecember 15, 2022
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022

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