Individual
MS. LINDSEY NICOLE JAMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Mailing address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10004421
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10004421A
IN STATE LICENSE
IN
01
—
10004421B
IN CSR
IN
01
—
1104277561
BCBS
IN
01
—
1222090
BOARD CERTIFICATION
IN
05
—
300093269
—
IN
05
—
7100987360
—
KY
Enumeration date
03/15/2024
Last updated
09/05/2024
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