Provider Demographics
NPI:1447897665
Name:SIMONE, LINDSAY (FNP-C)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:SIMONE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7828 GREYLOCK RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-4963
Mailing Address - Country:US
Mailing Address - Phone:704-312-2255
Mailing Address - Fax:704-413-3201
Practice Address - Street 1:7828 GREYLOCK RIDGE RD
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-4963
Practice Address - Country:US
Practice Address - Phone:704-312-2255
Practice Address - Fax:704-413-3201
Is Sole Proprietor?:No
Enumeration Date:2019-12-06
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5012436363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner