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NPI Code Detail

MEDICARE: LINDSAY ERIN HENDERSON NP

MEDICARE: LINDSAY ERIN HENDERSON NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2363LF0000XFamily Nurse PractitionerAPN14848TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033441233
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY ERIN HENDERSON NP
Provider Business Mailing Address
First Line : 121 NEWPORT TOWNE CTR
Second Line :
City : NEWPORT
State : TN
Zip : 37821-7391
Country : US
Telephone Number : 423-532-8621
Fax Number : 423-532-8704
Provider Business Practice Location Address
First Line : 121 NEWPORT TOWNE CTR
Second Line :
City : NEWPORT
State : TN
Zip : 37821-7391
Country : US
Telephone Number : 423-532-8621
Fax Number : 423-532-8704
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2010
Last Update Date : 02/09/2024

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