Provider Demographics
NPI:1043750201
Name:AMICK, LINDSAY JAYE (NP)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:JAYE
Last Name:AMICK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1032 HICKORY HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-1139
Mailing Address - Country:US
Mailing Address - Phone:731-504-4187
Mailing Address - Fax:
Practice Address - Street 1:408 42ND AVE N UNIT 300
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-3669
Practice Address - Country:US
Practice Address - Phone:315-356-4111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-07
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN22407363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health