Provider Demographics
NPI:1326611757
Name:ADAMS, LINDSEY DANIELLE (NP-C)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:DANIELLE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 BOWLES AVE STE 425
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63026-2384
Mailing Address - Country:US
Mailing Address - Phone:636-496-5080
Mailing Address - Fax:636-496-5095
Practice Address - Street 1:1011 BOWLES AVE STE 425
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-2384
Practice Address - Country:US
Practice Address - Phone:636-496-5080
Practice Address - Fax:636-496-5095
Is Sole Proprietor?:No
Enumeration Date:2021-07-22
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021028501363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner