Provider Demographics
NPI:1497926265
Name:WINDHAM, LINDY COCHRAN (CFNP)
Entity type:Individual
Prefix:MRS
First Name:LINDY
Middle Name:COCHRAN
Last Name:WINDHAM
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:LINDY
Other - Middle Name:N
Other - Last Name:CASSELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CFNP
Mailing Address - Street 1:PO BOX 1729
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39403-1729
Mailing Address - Country:US
Mailing Address - Phone:601-545-8700
Mailing Address - Fax:601-255-2645
Practice Address - Street 1:100 HIGHWAY 535
Practice Address - Street 2:
Practice Address - City:SEMINARY
Practice Address - State:MS
Practice Address - Zip Code:39479-8809
Practice Address - Country:US
Practice Address - Phone:601-722-3208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR865733363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS200014963Medicaid
MS30250I9206Medicare Oscar/Certification
MS512I500324Medicare Oscar/Certification