Provider Demographics
NPI:1902538895
Name:PHYFER, LINDSEY ROSE (NP)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ROSE
Last Name:PHYFER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26457 E MAIN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39773-7995
Mailing Address - Country:US
Mailing Address - Phone:205-427-8285
Mailing Address - Fax:
Practice Address - Street 1:1205 MS-182
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759
Practice Address - Country:US
Practice Address - Phone:662-320-8545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-29
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS906103363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1-143331OtherALABAMA BOARD OF NURSING
F06220258OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS
MS906103OtherMISSISSIPPI BOARD OF NURSING
MS924226OtherMISSISSIPPI BOARD OF NURSING