Individual
SHIRLEY B LINDSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
381 SOUTHWICK DR, SOUTHAVEN, MS 38671-3228
(662) 342-1409
Mailing address
381 SOUTHWICK DR, SOUTHAVEN, MS 38671-3228
(662) 342-1409
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R359114
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3631275
—
TN
Enumeration date
08/03/2006
Last updated
07/09/2007
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