Provider Demographics
NPI:1679115240
Name:RAYBORN, LINDSEY (APRN FNP-C)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:RAYBORN
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:65 GERMANTOWN CT STE 300
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-4258
Mailing Address - Country:US
Mailing Address - Phone:731-424-1001
Mailing Address - Fax:731-424-2249
Practice Address - Street 1:27A MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-3949
Practice Address - Country:US
Practice Address - Phone:731-424-1001
Practice Address - Fax:731-424-2249
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26658363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily