Healthcare Provider Details

I. General information

NPI: 1740113794
Provider Name (Legal Business Name): LINDSAY BROOKE CHURCH MCKEE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 FAIRGROVE CHURCH RD
NEWTON NC
28658-8531
US

IV. Provider business mailing address

200 E 2ND AVE
GASTONIA NC
28052-4358
US

V. Phone/Fax

Practice location:
  • Phone: 980-308-0858
  • Fax: 828-464-2845
Mailing address:
  • Phone: 704-874-1900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number333769
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5024634
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: