Provider Demographics
NPI:1952681637
Name:GOOD, LINDSAY FOX (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:FOX
Last Name:GOOD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:SUZANNE
Other - Last Name:FOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:500 OLD YORK RD
Mailing Address - Street 2:#100
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046
Mailing Address - Country:US
Mailing Address - Phone:215-836-1535
Mailing Address - Fax:484-245-4802
Practice Address - Street 1:500 OLD YORK RD
Practice Address - Street 2:#100
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046
Practice Address - Country:US
Practice Address - Phone:215-836-1535
Practice Address - Fax:484-245-4802
Is Sole Proprietor?:No
Enumeration Date:2011-08-25
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASPO11479363LF0000X
PASP011479363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily