Provider Demographics
NPI:1649012766
Name:HENLEY, LINDSEY (APRN, FNP)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:HENLEY
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 301
Mailing Address - Street 2:
Mailing Address - City:PIGGOTT
Mailing Address - State:AR
Mailing Address - Zip Code:72454-0301
Mailing Address - Country:US
Mailing Address - Phone:870-970-3180
Mailing Address - Fax:870-343-6262
Practice Address - Street 1:180 S THORNTON AVE
Practice Address - Street 2:
Practice Address - City:PIGGOTT
Practice Address - State:AR
Practice Address - Zip Code:72454-2731
Practice Address - Country:US
Practice Address - Phone:870-970-3180
Practice Address - Fax:870-343-6262
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR221896363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily