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NPI Code Detail

MEDICARE: LINDSAY NUSSBAUM WALDRON

MEDICARE: LINDSAY NUSSBAUM WALDRON
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
11041C0700XClinical Social Worker25667FL

General Provider Information

NPI Number : 1558209742
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY NUSSBAUM WALDRON
Provider Business Mailing Address
First Line : 3691 HILLIARD RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-4217
Country : US
Telephone Number : 904-270-9111
Fax Number :
Provider Business Practice Location Address
First Line : 3691 HILLIARD RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-4217
Country : US
Telephone Number : 904-270-9111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ LINDSAY NUSSBAUM WALDRON ” Practice Location

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