Healthcare Provider Details

I. General information

NPI: 1932801883
Provider Name (Legal Business Name): LINDSAY NICOLE LYONS APRN, AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 N HIGHWAY 377 STE 110
PILOT POINT TX
76258-3765
US

IV. Provider business mailing address

123 HOGAN DR
LAKE KIOWA TX
76240-9558
US

V. Phone/Fax

Practice location:
  • Phone: 940-686-0860
  • Fax:
Mailing address:
  • Phone: 214-674-6777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1110510
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: