Healthcare Provider Details

I. General information

NPI: 1154777563
Provider Name (Legal Business Name): LINDSAY CROWE NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2016
Last Update Date: 05/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2333 MCCALLIE AVE
CHATTANOOGA TN
37404-3258
US

IV. Provider business mailing address

3549 MEADOW CHASE DR
MARIETTA GA
30062-5939
US

V. Phone/Fax

Practice location:
  • Phone: 423-493-1959
  • Fax:
Mailing address:
  • Phone: 678-982-4371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License NumberRN195407
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberRN195407
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: