Individual
LINDSAY MARIE HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(965) 977-5565
Mailing address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3524
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q046399
—
TN
Enumeration date
01/31/2018
Last updated
03/31/2025
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