# MRS. LINDSEY LEANN SAMPLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114588076
- **Gender:** F
- **Credential:** MSN, AG-ACNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 041437122 | IL | — |
| 163W00000X | Registered Nurse | 28215273A | IN | — |
| 363L00000X | Nurse Practitioner | 71009567A | IN | Yes |

## Other

- **Enumeration date:** 06/21/2019
- **Last updated:** 09/29/2020