Individual
LINDSEY A KIRKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-BSN, RPSGT, CCSH
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 613-6389
Mailing address
114 PALIN DR, MADISON, MS 39110-6962
(601) 613-6389
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
919963
MS
235500000X
Speech/Language/Hearing Specialist/Technologist
15917
—
246Z00000X
Other Specialist/Technologist
064
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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