Healthcare Provider Details

I. General information

NPI: 1801632476
Provider Name (Legal Business Name): LYNDSEY HALE MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2024
Last Update Date: 09/21/2026
Certification Date: 07/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 GRAMMONT ST.
MONROE LA
71201-7516
US

IV. Provider business mailing address

611 GRAMMONT ST.
MONROE LA
71201-7516
US

V. Phone/Fax

Practice location:
  • Phone: 318-325-2634
  • Fax: 318-325-0717
Mailing address:
  • Phone: 318-325-2634
  • Fax: 318-325-0717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number205765
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: