Healthcare Provider Details

I. General information

NPI: 1740790179
Provider Name (Legal Business Name): LINDSAY ANNE GAMBLE APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2017
Last Update Date: 09/12/2025
Certification Date: 04/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 OKATIE CENTER BLVD S
OKATIE SC
29909-7507
US

IV. Provider business mailing address

7 NELIGH LN
BLUFFTON SC
29909-7864
US

V. Phone/Fax

Practice location:
  • Phone: 800-809-1265
  • Fax:
Mailing address:
  • Phone: 901-289-4667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN22890
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: