Healthcare Provider Details

I. General information

NPI: 1447661269
Provider Name (Legal Business Name): GEORGIA ANN LINDSEY CNS, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2014
Last Update Date: 01/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

452 W MARKET ST
XENIA OH
45385-2815
US

IV. Provider business mailing address

452 W MARKET ST
XENIA OH
45385-2815
US

V. Phone/Fax

Practice location:
  • Phone: 937-376-8700
  • Fax:
Mailing address:
  • Phone: 937-376-8700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCNP020302
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberNS-14071
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: