Provider Demographics
NPI:1619677697
Name:MATTHEWS, LINDSAY MORGAN (A-GPCNP-C)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:MORGAN
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:A-GPCNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2431 W MAIN ST STE 1101
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-1217
Mailing Address - Country:US
Mailing Address - Phone:334-944-2275
Mailing Address - Fax:334-803-8829
Practice Address - Street 1:2431 W MAIN ST STE 1101
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-1217
Practice Address - Country:US
Practice Address - Phone:334-944-2275
Practice Address - Fax:334-803-8829
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-07
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-155438363LG0600X, 251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty
No251G00000XAgenciesHospice Care, Community Based