MEDICARE: LINDSEY BURD PHMNP

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	R208282	MD

General Provider Information

NPI Number	:	1932683885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY BURD PHMNP

Provider Business Mailing Address
First Line	:	65 WINGED ELM CT
Second Line	:
City	:	ST AUGUSTINE
State	:	FL
Zip	:	32092-3547
Country	:	US
Telephone Number	:	904-902-1234
Fax Number	:	844-444-1232

Provider Business Practice Location Address
First Line	:	157 HAMPTON POINT DR
Second Line	:
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32092-3053
Country	:	US
Telephone Number	:	904-902-1234
Fax Number	:	844-444-1232

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

Provider Enumeration Date	:	09/17/2018
Last Update Date	:	03/31/2026

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