Provider Demographics
NPI:1659870574
Name:MEDLEY, LINDSAY B (APRN, DNP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:B
Last Name:MEDLEY
Suffix:
Gender:F
Credentials:APRN, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 990
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40423-0990
Mailing Address - Country:US
Mailing Address - Phone:859-236-4216
Mailing Address - Fax:859-238-9760
Practice Address - Street 1:102 CITATION DR
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-9216
Practice Address - Country:US
Practice Address - Phone:859-239-5927
Practice Address - Fax:859-238-9760
Is Sole Proprietor?:No
Enumeration Date:2018-02-06
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3012018363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily