Provider Demographics
NPI:1225494719
Name:PARSON, LINDSEY RAE
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:RAE
Last Name:PARSON
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 1:3648 TWISTED OAK CT STE 504
Mailing Address - Street 2:
Mailing Address - City:LAKE WALES
Mailing Address - State:FL
Mailing Address - Zip Code:33898-6958
Mailing Address - Country:US
Mailing Address - Phone:765-730-4326
Mailing Address - Fax:
Practice Address - Street 1:1603 S HIAWASSEE RD STE 130
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-6439
Practice Address - Country:US
Practice Address - Phone:813-551-1015
Practice Address - Fax:720-598-0440
Is Sole Proprietor?:No
Enumeration Date:2016-01-13
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71006040A363LF0000X
FLAPRN11004176363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN11004176OtherFL BOARD OF NURSING