Healthcare Provider Details

I. General information

NPI: 1215815683
Provider Name (Legal Business Name): LINDSEY EVANS FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2869 SENECA TRL S
PETERSTOWN WV
24963-5037
US

IV. Provider business mailing address

654 ADAIRS RUN RD
PRINCETON WV
24739-9184
US

V. Phone/Fax

Practice location:
  • Phone: 304-753-4336
  • Fax:
Mailing address:
  • Phone: 304-667-3975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number114121
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: