Provider Demographics
NPI:1073849402
Name:ROGERS, LINDSEY JANEAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:JANEAN
Last Name:ROGERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:LINDSEY
Other - Middle Name:JANEAN
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2950 MILLSBORO RD E
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44903-8783
Mailing Address - Country:US
Mailing Address - Phone:419-565-7656
Mailing Address - Fax:
Practice Address - Street 1:1025 S TRIMBLE RD
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44906-3427
Practice Address - Country:US
Practice Address - Phone:419-529-4602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-20
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH351911163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse