Healthcare Provider Details

I. General information

NPI: 1073431706
Provider Name (Legal Business Name): LINDSEY ROBERTS FNP
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

300 BELLE MEADE PT STE C
FLOWOOD MS
39232-3312
US

IV. Provider business mailing address

5622 WARNER DR
BRANDON MS
39042-7555
US

V. Phone/Fax

Practice location:
  • Phone: 601-540-7874
  • Fax:
Mailing address:
  • Phone: 601-540-7874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number908529
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: