Provider Demographics
NPI:1689336794
Name:PRATTS, LINDSEY KRISTINA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:KRISTINA
Last Name:PRATTS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3657 ISABEL RD
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08361-7005
Mailing Address - Country:US
Mailing Address - Phone:302-943-8281
Mailing Address - Fax:
Practice Address - Street 1:1203 HIGH ST N UNIT A
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08332-2530
Practice Address - Country:US
Practice Address - Phone:856-327-0182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-06
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR21452700207QA0505X, 207RP1001X
NJ26NJ01214800207QA0505X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine