Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 1-130438 | AL |
N | 363LG0600X | Nurse Practitioner - Gerontology | 1-130438 | AL |
NPI | 1023409091 |
---|---|
Provider Name | Lindsey M. Beckham |
First Address | Tuscaloosa, AL 35406-2805 |
Second Address | Vestavia, AL 35226-3732 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2015 |
Last Update Date | 29/03/2016 |