Provider Demographics
NPI:1336734938
Name:ROBERTS, LINDSEY CAROL (FNP)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:CAROL
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:CAROL
Other - Last Name:GILHOUSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:302 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KIRKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46050-9044
Mailing Address - Country:US
Mailing Address - Phone:317-764-1233
Mailing Address - Fax:
Practice Address - Street 1:3728 S REED RD
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-3829
Practice Address - Country:US
Practice Address - Phone:765-626-7110
Practice Address - Fax:765-450-4495
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-04
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71010891A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner