Healthcare Provider Details

I. General information

NPI: 1972459717
Provider Name (Legal Business Name): LINDSAY ALLBRITTON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 PHYSICIANS PARK STE 400
POPLAR BLUFF MO
63901-3923
US

IV. Provider business mailing address

5404 MISTY MEADOW RD
POPLAR BLUFF MO
63901-9285
US

V. Phone/Fax

Practice location:
  • Phone: 573-727-5535
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2026005072
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: