Healthcare Provider Details

I. General information

NPI: 1649827965
Provider Name (Legal Business Name): LINDSEY ELIZABETH GRIESER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY ELIZABETH HECKES APRN

II. Dates (important events)

Enumeration Date: 08/21/2019
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 E SPRING ST
MONROE GA
30655-2469
US

IV. Provider business mailing address

1016 E SPRING ST
MONROE GA
30655-2469
US

V. Phone/Fax

Practice location:
  • Phone: 770-464-0280
  • Fax: 770-464-0233
Mailing address:
  • Phone: 770-464-0280
  • Fax: 770-464-0233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP337512
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA155251
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA155251
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: