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General NPI Number Information
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NPI Number | 1780176933
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Entity Type | Individual
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Provider Name | LINDSAY FUSON PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 06/21/2025
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Provider Practice Location Address
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Address Line | 610 KENTUCKY ST # 159
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City | SCOTTDALE
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State | GA
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Zip | 30079-1124
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Country | US
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Telephone | 470-713-0525
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Fax |
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Provider Business Mailing Address
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Address Line | 196 ROE HAMPTON LN
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City | STONE MOUNTAIN
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State | GA
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Zip | 30087-2502
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Country | US
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Telephone | 206-683-2128
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Fax |
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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 | RN262280
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License Number State | GA
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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 | RN262280
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License Number State | GA
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