Provider Demographics
NPI:1063178028
Name:LACEY, LINDSEY JADE (RN MSN FNP-C)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:JADE
Last Name:LACEY
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Gender:
Credentials:RN MSN FNP-C
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Other - Credentials:
Mailing Address - Street 1:3711 BLARNEY DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-2261
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4677 TOWNE CENTRE RD STE 303
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2848
Practice Address - Country:US
Practice Address - Phone:989-401-5354
Practice Address - Fax:989-401-0050
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2025-05-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704278195363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily