Provider Demographics
NPI:1194265975
Name:THRIFT, LINDSAY (FNP)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:THRIFT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:NAHUNTA
Mailing Address - State:GA
Mailing Address - Zip Code:31553-4032
Mailing Address - Country:US
Mailing Address - Phone:912-462-8920
Mailing Address - Fax:912-462-5184
Practice Address - Street 1:71 JOHNSON ST
Practice Address - Street 2:
Practice Address - City:NAHUNTA
Practice Address - State:GA
Practice Address - Zip Code:31553-4032
Practice Address - Country:US
Practice Address - Phone:912-462-8920
Practice Address - Fax:912-462-5184
Is Sole Proprietor?:No
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN212069363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner