Provider Demographics
NPI:1235276601
Name:WILSON, LINDSAY E (RN, MSN, CPNP)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:E
Last Name:WILSON
Suffix:
Gender:F
Credentials:RN, MSN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6341 SUNHIGH PL
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-4496
Mailing Address - Country:US
Mailing Address - Phone:410-955-9163
Mailing Address - Fax:410-955-1464
Practice Address - Street 1:JOHNS HOPKINS HOSPITAL
Practice Address - Street 2:600 N. WOLFE STREEET, BRADY 320
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0001
Practice Address - Country:US
Practice Address - Phone:410-955-9163
Practice Address - Fax:410-955-1464
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR075884363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics