Basic Information
Provider Information
NPI: 1225494719
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARSON
FirstName: LINDSEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2525 W UNIVERSITY AVE
Address2: STE 504
City: MUNCIE
State: IN
PostalCode: 473033409
CountryCode: US
TelephoneNumber: 7657304326
FaxNumber:  
Practice Location
Address1: 1603 S HIAWASSEE RD STE 130
Address2:  
City: ORLANDO
State: FL
PostalCode: 328356439
CountryCode: US
TelephoneNumber: 8135511015
FaxNumber: 7205980440
Other Information
ProviderEnumerationDate: 01/13/2016
LastUpdateDate: 03/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X71006040AINN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363L00000XAPRN11004176FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

ID Information
IDTypeStateIssuerDescription
APRN1100417601FLFL BOARD OF NURSINGOTHER


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