Healthcare Provider Details

I. General information

NPI: 1760194351
Provider Name (Legal Business Name): JENNIFER LYNN LINDSAY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER LYNN CHILDS ARNP

II. Dates (important events)

Enumeration Date: 12/15/2022
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 44008
JACKSONVILLE FL
32231-4008
US

IV. Provider business mailing address

PO BOX 44008
JACKSONVILLE FL
32231-4008
US

V. Phone/Fax

Practice location:
  • Phone: 904-383-1022
  • Fax:
Mailing address:
  • Phone: 904-383-1022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number11030811
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberH172225
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: