Healthcare Provider Details

I. General information

NPI: 1811645328
Provider Name (Legal Business Name): LINDSEY KAY ZWART NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2022
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2051 HAMILL RD STE 401
HIXSON TN
37343-4653
US

IV. Provider business mailing address

103 GOLF DR
SIGNAL MOUNTAIN TN
37377-1846
US

V. Phone/Fax

Practice location:
  • Phone: 423-541-1125
  • Fax:
Mailing address:
  • Phone: 810-656-7598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number35885
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: