Provider Demographics
NPI:1699078071
Name:GLEESON, LINDSEY ANNE (ACNP)
Entity type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:ANNE
Last Name:GLEESON
Suffix:
Gender:
Credentials:ACNP
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7412011
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-2011
Mailing Address - Country:US
Mailing Address - Phone:314-362-7260
Mailing Address - Fax:314-747-0917
Practice Address - Street 1:1 BARNES JEWISH HOSPITAL PLZ
Practice Address - Street 2:DIV SURG CT ADULT CARDIO
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1003
Practice Address - Country:US
Practice Address - Phone:314-362-7260
Practice Address - Fax:314-747-0917
Is Sole Proprietor?:No
Enumeration Date:2010-12-07
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2011009357363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO426539300Medicaid
MO1699078071Medicaid