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General NPI Number Information
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NPI Number | 1881669620
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Entity Type | Individual
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Provider Name | CAROL LINDSEY CNM
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Gender | Female
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 01/18/2019
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Provider Practice Location Address
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Address Line | 650 JOEL DR
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City | FORT CAMPBELL
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State | KY
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Zip | 42223-5318
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Country | US
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Telephone | 270-798-8671
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Fax |
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Provider Business Mailing Address
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Address Line | 1493 WILLOW BEND CT
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City | CLARKSVILLE
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State | TN
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Zip | 37043-1764
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Country | US
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Telephone | 931-905-0049
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 88218
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 6564
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License Number State | TN
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