Provider Demographics
NPI:1447087341
Name:BLAND, LINDSAY REBECCA (PA-C)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:REBECCA
Last Name:BLAND
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3831
Mailing Address - Country:US
Mailing Address - Phone:606-335-3737
Mailing Address - Fax:
Practice Address - Street 1:124 NOLAND ROAD
Practice Address - Street 2:
Practice Address - City:MOORESBURG
Practice Address - State:TN
Practice Address - Zip Code:37811
Practice Address - Country:US
Practice Address - Phone:606-335-9033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant