Healthcare Provider Details

I. General information

NPI: 1710873625
Provider Name (Legal Business Name): RACHEL MARCUS LINDSEY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2509 BROADMOOR BLVD
MONROE LA
71201-3183
US

IV. Provider business mailing address

2509 BROADMOOR BLVD
MONROE LA
71201-3183
US

V. Phone/Fax

Practice location:
  • Phone: 318-325-0600
  • Fax:
Mailing address:
  • Phone: 318-325-0600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number241730
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: