Provider Demographics
NPI:1063188910
Name:CAMPBELL, LINDSAY ANNE (MSN, APRN, AGNP-C)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ANNE
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MSN, APRN, AGNP-C
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:ANNE
Other - Last Name:SIEHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APRN, AGNP-C
Mailing Address - Street 1:4193 MAPLEGROVE DR
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-3334
Mailing Address - Country:US
Mailing Address - Phone:513-256-6707
Mailing Address - Fax:
Practice Address - Street 1:11800 AMBERPARK DR STE 230
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-2210
Practice Address - Country:US
Practice Address - Phone:800-624-8846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.024812363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health