Provider Demographics
NPI:1619209848
Name:HOLCOMBE, LINDSAY K (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:K
Last Name:HOLCOMBE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MRS
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:KNUDSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1055 NIGHT HARBOR CIR
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-7728
Mailing Address - Country:US
Mailing Address - Phone:803-260-5715
Mailing Address - Fax:
Practice Address - Street 1:1055 NIGHT HARBOR CIR
Practice Address - Street 2:
Practice Address - City:CHAPIN
Practice Address - State:SC
Practice Address - Zip Code:29036-7728
Practice Address - Country:US
Practice Address - Phone:803-260-5715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-15
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4117363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC4117OtherSC LICENSE