MEDICARE: LINDSAY BURKE FNP-C

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	363L00000X	Nurse Practitioner	902076	MS

General Provider Information

NPI Number	:	1619407558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY BURKE FNP-C

Provider Business Mailing Address
First Line	:	778 LIBERTY RD
Second Line	:
City	:	FLOWOOD
State	:	MS
Zip	:	39232-9300
Country	:	US
Telephone Number	:	769-243-6141
Fax Number	:

Provider Business Practice Location Address
First Line	:	1190 N STATE ST STE 2A
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39202-2413
Country	:	US
Telephone Number	:	769-243-6141
Fax Number	:

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

Provider Enumeration Date	:	06/14/2017
Last Update Date	:	05/22/2026

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