Provider Demographics
NPI:1225890361
Name:GEORGE, LINDSEY MARIE (CPNP)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:MARIE
Last Name:GEORGE
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 GLENMOOR CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-8016
Mailing Address - Country:US
Mailing Address - Phone:812-390-5748
Mailing Address - Fax:
Practice Address - Street 1:4225 VICKERS DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-4649
Practice Address - Country:US
Practice Address - Phone:812-379-9524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28251628A363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics