Healthcare Provider Details

I. General information

NPI: 1295460814
Provider Name (Legal Business Name): MORGAN B LINDSEY PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORGAN BRITTANY KEITH

II. Dates (important events)

Enumeration Date: 07/18/2022
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 LEE ST
CHARLOTTESVILLE VA
22908-2717
US

IV. Provider business mailing address

PO BOX 749112
ATLANTA GA
30374-9112
US

V. Phone/Fax

Practice location:
  • Phone: 434-924-5428
  • Fax:
Mailing address:
  • Phone: 434-295-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1087843
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number1087843
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number0024191231
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: