Healthcare Provider Details

I. General information

NPI: 1932683885
Provider Name (Legal Business Name): LINDSEY BURD PHMNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2018
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 HAMPTON POINT DR
SAINT AUGUSTINE FL
32092-3053
US

IV. Provider business mailing address

65 WINGED ELM CT
ST AUGUSTINE FL
32092-3547
US

V. Phone/Fax

Practice location:
  • Phone: 904-902-1234
  • Fax: 844-444-1232
Mailing address:
  • Phone: 904-902-1234
  • Fax: 844-444-1232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR208282
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: