Healthcare Provider Details

I. General information

NPI: 1568171601
Provider Name (Legal Business Name): LINDSEY MICHELLE ALLEN PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2022
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 S WEBER AVE
SALISBURY MO
65281-1071
US

IV. Provider business mailing address

605 S ALICE AVE
SALISBURY MO
65281-1535
US

V. Phone/Fax

Practice location:
  • Phone: 660-388-5001
  • Fax: 660-388-5044
Mailing address:
  • Phone: 660-621-9890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2022069253
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: