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NPI Code Detail

MEDICARE: MRS. LINDSEY BETH HOLLINGSWORTH PA-C

MEDICARE: MRS. LINDSEY BETH HOLLINGSWORTH PA-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
1363AM0700XMedical Physician Assistant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922409580
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDSEY BETH HOLLINGSWORTH PA-C
Provider Business Mailing Address
First Line : 800 PRUDENTIAL DRIVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207
Country : US
Telephone Number : 904-244-3199
Fax Number : 904-244-3425
Provider Business Practice Location Address
First Line : 841 PRUDENTIAL DR STE 1900
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8373
Country : US
Telephone Number : 904-244-9233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2014
Last Update Date : 01/03/2018

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