Provider Demographics
NPI:1396383378
Name:GIVENS, LINDSEY LAUREN (FNP)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:LAUREN
Last Name:GIVENS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17513 ARAGON LN
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-9209
Mailing Address - Country:US
Mailing Address - Phone:405-503-8646
Mailing Address - Fax:
Practice Address - Street 1:17513 ARAGON LN
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73170-9209
Practice Address - Country:US
Practice Address - Phone:405-503-8646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-20
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKF10190676363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics