Provider Demographics
NPI:1477895241
Name:SMITHERMAN, LINDSIE DAWN (FNP)
Entity Type:Individual
Prefix:
First Name:LINDSIE
Middle Name:DAWN
Last Name:SMITHERMAN
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 1:2312 PRISCELLA DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76131-1275
Mailing Address - Country:US
Mailing Address - Phone:214-277-9940
Mailing Address - Fax:
Practice Address - Street 1:4135 BELT LINE RD STE 124
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-5879
Practice Address - Country:US
Practice Address - Phone:469-495-9126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX757869363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily