Healthcare Provider Details

I. General information

NPI: 1831029172
Provider Name (Legal Business Name): JASMINE LINDSEY LCSW-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

976 MLK BLVD
CHAPEL HILL NC
27514-2654
US

IV. Provider business mailing address

2128 ROBERT RYAN DR
ROCKY MOUNT NC
27803-1524
US

V. Phone/Fax

Practice location:
  • Phone: 919-968-2552
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberP023606
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: