Provider Demographics
NPI:1215514641
Name:CREED, LINDSEY (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:
Last Name:CREED
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:CREED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNP
Mailing Address - Street 1:611 W PARK ST
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61801-2529
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 MITCHELL AVE
Practice Address - Street 2:
Practice Address - City:MATTOON
Practice Address - State:IL
Practice Address - Zip Code:61938-9364
Practice Address - Country:US
Practice Address - Phone:619-599-4913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-24
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209022041363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily