Provider Demographics
NPI:1568887552
Name:ELLIS, LINDSEY PAIGE (FNP-C, MPH)
Entity type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:PAIGE
Last Name:ELLIS
Suffix:
Gender:F
Credentials:FNP-C, MPH
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Mailing Address - Street 1:1 BOSTON PL STE 2600
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108-4420
Mailing Address - Country:US
Mailing Address - Phone:617-958-5697
Mailing Address - Fax:
Practice Address - Street 1:1 BOSTON PL STE 2600
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-4420
Practice Address - Country:US
Practice Address - Phone:617-958-5697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-27
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCRN1020866363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily