Provider Demographics
NPI:1528044682
Name:BRATTON-MULLINS, LINDSAY C (FNP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:C
Last Name:BRATTON-MULLINS
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 1:4660 BLUEBONNET BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-9632
Mailing Address - Country:US
Mailing Address - Phone:225-767-8550
Mailing Address - Fax:225-767-8556
Practice Address - Street 1:4660 BLUEBONNET BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-9632
Practice Address - Country:US
Practice Address - Phone:225-767-8550
Practice Address - Fax:225-767-8556
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP04902363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily