Healthcare Provider Details

I. General information

NPI: 1255799730
Provider Name (Legal Business Name): LINDSEY GARNER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY ROGERS

II. Dates (important events)

Enumeration Date: 01/29/2016
Last Update Date: 07/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

391 SOUTHCREST CIR
SOUTHAVEN MS
38671
US

IV. Provider business mailing address

8060 WOLF RIVER BLVD
GERMANTOWN TN
38138-1727
US

V. Phone/Fax

Practice location:
  • Phone: 901-271-1000
  • Fax: 901-271-4187
Mailing address:
  • Phone: 901-271-1000
  • Fax: 901-271-4187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number902643
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: