Healthcare Provider Details

I. General information

NPI: 1346517927
Provider Name (Legal Business Name): LINDSEY S CUNNINGHAM FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY SHAY WILSON FNP-BC

II. Dates (important events)

Enumeration Date: 11/25/2011
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 HARRODSBURG RD STE 210
LEXINGTON KY
40504-3601
US

IV. Provider business mailing address

1725 HARRODSBURG RD STE 210
LEXINGTON KY
40504-3601
US

V. Phone/Fax

Practice location:
  • Phone: 859-977-9511
  • Fax:
Mailing address:
  • Phone: 859-977-9511
  • Fax: 888-494-2356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-179570
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number16339
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5016400
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4049158
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: