Provider Demographics
NPI:1609607407
Name:LINDSEY, TAYLOR (MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1270 UNION UNIVERSITY DR STE A
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-3856
Mailing Address - Country:US
Mailing Address - Phone:731-664-0103
Mailing Address - Fax:
Practice Address - Street 1:1270 UNION UNIVERSITY DR STE A
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-3856
Practice Address - Country:US
Practice Address - Phone:731-664-0103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000035976363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner