Individual
LINDSEY NICOLE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2115 S BROADWAY AVE, TYLER, TX 75701-4214
(903) 907-7002
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
741143
TX
363L00000X
Nurse Practitioner
Primary
AP127663
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344706201
—
TX
01
—
75-2616977-029
TRICARE
TX
01
—
75-2616977-041
TRICARE
TX
01
—
8949NN
BCBS
TX
01
—
P01454909
RAIL ROAD MEDICARE
TX
Enumeration date
02/05/2015
Last updated
08/28/2023
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