Provider Demographics
NPI:1215291091
Name:CLARK, LINDSEY LASHAE (APRN)
Entity type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:LASHAE
Last Name:CLARK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:LINDSEY
Other - Middle Name:LASHAE
Other - Last Name:HINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:147 BLACKBURN DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-2168
Mailing Address - Country:US
Mailing Address - Phone:870-450-5320
Mailing Address - Fax:
Practice Address - Street 1:1910 RECTOR RD
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-2004
Practice Address - Country:US
Practice Address - Phone:870-240-8500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-27
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR86297163W00000X
ARA004854363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse