Healthcare Provider Details

I. General information

NPI: 1578934873
Provider Name (Legal Business Name): LINDSAY ANNE BURDEN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2015
Last Update Date: 04/27/2023
Certification Date: 04/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3627 UNIVERSITY BLVD S STE 500
JACKSONVILLE FL
32216-7405
US

IV. Provider business mailing address

5101 GATE PKWY
JACKSONVILLE FL
32256-7275
US

V. Phone/Fax

Practice location:
  • Phone: 904-399-5678
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9337451
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9337451
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: