Provider Demographics
NPI:1841733847
Name:SMITH, LINDSEY (NP-C)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 W OAKLAND AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-1667
Mailing Address - Country:US
Mailing Address - Phone:423-283-1300
Mailing Address - Fax:423-283-1306
Practice Address - Street 1:105 MEADOW VIEW RD STE 1
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-1726
Practice Address - Country:US
Practice Address - Phone:423-878-5100
Practice Address - Fax:423-878-5300
Is Sole Proprietor?:No
Enumeration Date:2016-11-22
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000019602363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily