Healthcare Provider Details

I. General information

NPI: 1386064913
Provider Name (Legal Business Name): LINDSAY HAND BURGESS NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2014
Last Update Date: 04/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

848 ADAMS AVE
MEMPHIS TN
38103-2816
US

IV. Provider business mailing address

1920 N ALMADALE CT APT 104
COLLIERVILLE TN
38017-7851
US

V. Phone/Fax

Practice location:
  • Phone: 901-287-4800
  • Fax:
Mailing address:
  • Phone: 601-218-1300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number18709
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: