Provider Demographics
NPI:1992120158
Name:KEMP, LINDSAY ASHBY (CFNP)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:ASHBY
Last Name:KEMP
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:MRS
Other - First Name:LINDSAY
Other - Middle Name:ASHBY
Other - Last Name:KEMP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:114 N LEHMBERG RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39702-5554
Mailing Address - Country:US
Mailing Address - Phone:662-329-2955
Mailing Address - Fax:662-328-6007
Practice Address - Street 1:114 N LEHMBERG RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39702-5554
Practice Address - Country:US
Practice Address - Phone:662-329-2955
Practice Address - Fax:662-328-6007
Is Sole Proprietor?:No
Enumeration Date:2014-02-25
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-123264363LF0000X
MSR882775363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS07382829Medicaid