Provider Demographics
NPI:1467278531
Name:TEBBS, LINDSEY MICHELLE (NP)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:MICHELLE
Last Name:TEBBS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:358 S 985 W
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:UT
Mailing Address - Zip Code:84737-5617
Mailing Address - Country:US
Mailing Address - Phone:435-256-0065
Mailing Address - Fax:
Practice Address - Street 1:358 S 985 W
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:UT
Practice Address - Zip Code:84737-5617
Practice Address - Country:US
Practice Address - Phone:435-256-0065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6529074363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily