Provider Demographics
NPI:1801437710
Name:BURGESS, LINDSEY DENISE (AGACNP-BC)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:DENISE
Last Name:BURGESS
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:DENISE
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:219 THACH LN
Mailing Address - Street 2:
Mailing Address - City:MERIDIANVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35759-1625
Mailing Address - Country:US
Mailing Address - Phone:256-763-6506
Mailing Address - Fax:
Practice Address - Street 1:810 FRANKLIN ST SE STE A
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4310
Practice Address - Country:US
Practice Address - Phone:256-533-7676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-113769363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care