Healthcare Provider Details

I. General information

NPI: 1346778735
Provider Name (Legal Business Name): LINDSEY T MADDOX CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2017
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4371 NARROW LANE RD STE 205
MONTGOMERY AL
36116-2975
US

IV. Provider business mailing address

4371 NARROW LANE RD STE 205
MONTGOMERY AL
36116-2975
US

V. Phone/Fax

Practice location:
  • Phone: 334-747-7790
  • Fax:
Mailing address:
  • Phone: 334-747-7790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberI-136531
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: