Provider Demographics
NPI:1821433459
Name:GRIFFIN, LINDSAY ANDREWS (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ANDREWS
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 N HOUSTON RD
Mailing Address - Street 2:STE # 140H
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31093-3074
Mailing Address - Country:US
Mailing Address - Phone:478-923-3360
Mailing Address - Fax:478-923-9977
Practice Address - Street 1:233 N HOUSTON RD
Practice Address - Street 2:STE # 140H
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-3074
Practice Address - Country:US
Practice Address - Phone:478-923-3360
Practice Address - Fax:478-923-9977
Is Sole Proprietor?:No
Enumeration Date:2013-05-09
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN193389363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003134409BMedicaid
GA003134409AMedicaid