Provider Demographics
NPI:1235537044
Name:LINDSEY SMITH, VANQUIECE LASHUNN (ARNP-C)
Entity Type:Individual
Prefix:
First Name:VANQUIECE
Middle Name:LASHUNN
Last Name:LINDSEY SMITH
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 CEDARS XING
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-6388
Mailing Address - Country:US
Mailing Address - Phone:623-213-1125
Mailing Address - Fax:
Practice Address - Street 1:2910 CEDARS XING
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-6388
Practice Address - Country:US
Practice Address - Phone:623-213-1125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-10
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9288512363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily