Provider Demographics
NPI:1083387690
Name:BARNARD, LINDSAY JENKINS (FNP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:JENKINS
Last Name:BARNARD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5296 GA HIGHWAY 119 N
Mailing Address - Street 2:
Mailing Address - City:CLYO
Mailing Address - State:GA
Mailing Address - Zip Code:31303-3617
Mailing Address - Country:US
Mailing Address - Phone:912-677-6166
Mailing Address - Fax:
Practice Address - Street 1:5296 GA HIGHWAY 119 N
Practice Address - Street 2:
Practice Address - City:CLYO
Practice Address - State:GA
Practice Address - Zip Code:31303-3617
Practice Address - Country:US
Practice Address - Phone:912-677-6166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN175407363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily