Provider Demographics
NPI:1790376937
Name:BICKERSTAFF, LINDSEY ELAINE (APRN-CNP)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:ELAINE
Last Name:BICKERSTAFF
Suffix:
Gender:F
Credentials:APRN-CNP
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Mailing Address - Street 1:104 WILSON LN
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505
Mailing Address - Country:US
Mailing Address - Phone:580-721-9515
Mailing Address - Fax:
Practice Address - Street 1:110 NW 31ST ST STE 201
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-6100
Practice Address - Country:US
Practice Address - Phone:580-585-5549
Practice Address - Fax:580-699-8223
Is Sole Proprietor?:No
Enumeration Date:2021-01-31
Last Update Date:2021-10-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK201534363LW0102X
OK102364163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse