Provider Demographics
NPI:1770849770
Name:MCCURRY, LINDSEY NICOLE (NP)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:NICOLE
Last Name:MCCURRY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:NICOLE
Other - Last Name:PROVINCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:241 MONARCH ROAD
Mailing Address - Street 2:
Mailing Address - City:ST. CHARLES
Mailing Address - State:VA
Mailing Address - Zip Code:24282-0269
Mailing Address - Country:US
Mailing Address - Phone:276-383-4428
Mailing Address - Fax:276-383-4927
Practice Address - Street 1:241 MONARCH ROAD
Practice Address - Street 2:
Practice Address - City:ST. CHARLES
Practice Address - State:VA
Practice Address - Zip Code:24282-0269
Practice Address - Country:US
Practice Address - Phone:276-383-4428
Practice Address - Fax:276-383-4927
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169894363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily