MEDICARE: LINDSEY OLUWATOSIN THOMPSON NP

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	RN213563	GA

General Provider Information

NPI Number	:	1649782020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY OLUWATOSIN THOMPSON NP

Provider Business Mailing Address
First Line	:	3495 PIEDMONT RD NE BLDG 12
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-1717
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3495 PIEDMONT RD NE BLDG 12
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-1717
Country	:	US
Telephone Number	:	470-755-1819
Fax Number	:

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

Provider Enumeration Date	:	10/25/2017
Last Update Date	:	01/06/2026

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