Healthcare Provider Details

I. General information

NPI: 1316019748
Provider Name (Legal Business Name): JENNIFER L LINDSEY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3897 CHARLESTOWN RD
NEW ALBANY IN
47150-9562
US

IV. Provider business mailing address

3897 CHARLESTOWN RD
NEW ALBANY IN
47150-9562
US

V. Phone/Fax

Practice location:
  • Phone: 502-495-3665
  • Fax: 502-874-5536
Mailing address:
  • Phone: 502-495-3665
  • Fax: 502-874-5536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3005032
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71002795A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: