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NPI 1164991048

NPI 1164991048 : LINDSEY IRENE BRYANT APRN : MAUMELLE, AR

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General NPI Number Information
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    NPI Number           |    1164991048
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSEY IRENE BRYANT APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/20/2018
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    Last Update Date     |    03/18/2025
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Provider Practice Location Address
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    Address Line         |    701 MURPHY DR STE 12 
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    City                 |    MAUMELLE
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    State                |    AR
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    Zip                  |    72113-6198
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    Country              |    US
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    Telephone            |    501-454-4519
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    Fax                  |    501-500-5957
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Provider Business Mailing Address
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    Address Line         |    701 MURPHY DR STE 12 
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    City                 |    MAUMELLE
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    State                |    AR
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    Zip                  |    72113-6198
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    Country              |    US
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    Telephone            |    
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    Fax                  |    501-500-5957
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    A005915
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    License Number State |    AR
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    A005915
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    License Number State |    AR
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