MEDICARE: MS. LINDSAY BROOKE ABBOTT PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R230867	MD

General Provider Information

NPI Number	:	1205264116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDSAY BROOKE ABBOTT PMHNP-BC

Provider Business Mailing Address
First Line	:	1405 LOWMAN ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21230-5228
Country	:	US
Telephone Number	:	410-397-5342
Fax Number	:	410-762-4903

Provider Business Practice Location Address
First Line	:	1405 LOWMAN ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21230-5228
Country	:	US
Telephone Number	:	410-397-5342
Fax Number	:	410-762-4903

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2013
Last Update Date	:	06/18/2026

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