Provider Demographics
NPI:1003547787
Name:JENNINGS, LINDSAY MEREDITH
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:MEREDITH
Last Name:JENNINGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3849 BULL RUN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLINVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27248-8030
Mailing Address - Country:US
Mailing Address - Phone:336-302-9127
Mailing Address - Fax:336-458-9654
Practice Address - Street 1:1700 WHITEHALL ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-2042
Practice Address - Country:US
Practice Address - Phone:336-339-4815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14548235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist