Healthcare Provider Details

I. General information

NPI: 1073448379
Provider Name (Legal Business Name): LYNDSI BROOKE MIDDLETON APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 HICKORY ST STE 103
ABILENE TX
79601-4144
US

IV. Provider business mailing address

102 DYLAN DR
TUSCOLA TX
79562-1601
US

V. Phone/Fax

Practice location:
  • Phone: 325-268-4122
  • Fax:
Mailing address:
  • Phone: 325-603-6869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1062641
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: