Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | APN0000010812 | TN |
NPI | 1023198306 |
---|---|
Provider Name | Mrs. Brandi Lindsey |
First Address | Lebanon, TN 37087-2567 |
Second Address | Lebanon, TN 37087-2567 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 08/07/2007 |