Healthcare Provider Details
I. General information
NPI: 1225671605
Provider Name (Legal Business Name): DAWN LINDSEY DNP, APRN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/18/2019
Last Update Date: 04/15/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3348 MAIN ST, STE 100
BRYANT AR
72022
US
IV. Provider business mailing address
698 KEESEE CV
BENTON AR
72019-6161
US
V. Phone/Fax
- Phone: 504-443-3824
- Fax: 501-521-1001
- Phone: 501-765-3375
- Fax: 501-286-6046
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAWN
LEAH
LINDSEY
Title or Position: OWNER
Credential: DNP
Phone: 501-765-3375