Edwards, Lindsey Nicole
Edwards, Lindsey Nicole is an individual health care provider with primary practice located at 2115 S Broadway Ave , Tyler TX 75701-4214. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Edwards, Lindsey Nicole can be contacted via phone (903) 907-7002.Contact Information
Primary practice address
2115 S Broadway Ave
Tyler TX 75701-4214
Phone: (903) 907-7002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 741143 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP127663 | Texas |
Profile Details
| NPI number | 1790176287 |
|---|---|
| LBN Legal business name | Edwards, Lindsey Nicole |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2015 |
| Last updated | Aug 28th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790176287 | NPPES |
| Texas | Other | 75-2616977-029 | TRICARE |
| Texas | Other | 8949NN | TRICARE |
| Texas | Other | P01454909 | TRICARE |
| Texas | MEDICAID | 344706201 | TRICARE |
| Texas | Other | 75-2616977-041 | TRICARE |
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