Provider Demographics
NPI:1134482953
Name:CHANDLER, LINDSEY R (CFNP)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:R
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 GOLDEN HILLS RD
Mailing Address - Street 2:
Mailing Address - City:MOOREVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38857-9104
Mailing Address - Country:US
Mailing Address - Phone:662-842-9934
Mailing Address - Fax:
Practice Address - Street 1:501 S CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MS
Practice Address - Zip Code:39730-3336
Practice Address - Country:US
Practice Address - Phone:662-369-6110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR876939363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily