Provider Demographics
NPI:1447697016
Name:HARRISON, LINDSAY H (CRNP)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:H
Last Name:HARRISON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 COUNTY ROAD 437
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055
Mailing Address - Country:US
Mailing Address - Phone:256-615-2055
Mailing Address - Fax:256-747-5129
Practice Address - Street 1:1701 MAIN AVE SW
Practice Address - Street 2:SUITE E
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-5299
Practice Address - Country:US
Practice Address - Phone:256-531-9213
Practice Address - Fax:256-841-6019
Is Sole Proprietor?:No
Enumeration Date:2013-05-23
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-137911363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL102I502396Medicare PIN