Provider Demographics
NPI:1700210424
Name:EVERETT, LINDSAY ELECTRA (RN, BSN, MSN, FNP)
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:ELECTRA
Last Name:EVERETT
Suffix:
Gender:F
Credentials:RN, BSN, MSN, FNP
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Mailing Address - Street 1:830 S GLOSTER ST
Mailing Address - Street 2:NMMC, HEART INSTITUTE, ADMINSTRATIVE SUITE, 3RD FLOOR
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801-4934
Mailing Address - Country:US
Mailing Address - Phone:662-377-2830
Mailing Address - Fax:662-377-2893
Practice Address - Street 1:830 S GLOSTER ST
Practice Address - Street 2:NMMC, HEART INSTITUTE, ADMINSTRATIVE SUITE, 3RD FLOOR
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-4934
Practice Address - Country:US
Practice Address - Phone:662-377-2830
Practice Address - Fax:662-377-2893
Is Sole Proprietor?:No
Enumeration Date:2013-08-29
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MSR876337363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily