Provider Demographics
NPI:1073212478
Name:NEAL, LINDSEY ELIZABETH (NP)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ELIZABETH
Last Name:NEAL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3523 PELHAM RD STE C
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4191
Mailing Address - Country:US
Mailing Address - Phone:864-236-1630
Mailing Address - Fax:864-203-2066
Practice Address - Street 1:138 MILESTONE WAY STE C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-6617
Practice Address - Country:US
Practice Address - Phone:864-236-1630
Practice Address - Fax:864-203-2066
Is Sole Proprietor?:No
Enumeration Date:2023-02-24
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC27081363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily