Provider Demographics
NPI:1780472175
Name:AHEARN, LINDSEY NIKKELS (PA-S2)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:NIKKELS
Last Name:AHEARN
Suffix:
Gender:
Credentials:PA-S2
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 CIDER MILL DR APT 301
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-7587
Mailing Address - Country:US
Mailing Address - Phone:404-408-4087
Mailing Address - Fax:
Practice Address - Street 1:131 CIDER MILL DR APT 301
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-7587
Practice Address - Country:US
Practice Address - Phone:404-408-4087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant