Edwards, Lindsey Nicole

Edwards, Lindsey Nicole is an individual health care provider with primary practice located at 2115 S Broadway Ave , Tyler TX 75701-4214. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Edwards, Lindsey Nicole can be contacted via phone (903) 907-7002.

Contact Information

Primary practice address
2115 S Broadway Ave Tyler TX 75701-4214
Phone: (903) 907-7002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 741143 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP127663 Texas

Profile Details

NPI number 1790176287
LBN Legal business name Edwards, Lindsey Nicole
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2015
Last updated Aug 28th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790176287 NPPES
Texas Other 75-2616977-029 TRICARE
Texas Other 8949NN TRICARE
Texas Other P01454909 TRICARE
Texas MEDICAID 344706201 TRICARE
Texas Other 75-2616977-041 TRICARE

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