Provider Demographics
NPI:1164991048
Name:BRYANT, LINDSEY IRENE (APRN)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:IRENE
Last Name:BRYANT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 MURPHY DR STE 12
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-6198
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:501-500-5957
Practice Address - Street 1:701 MURPHY DR STE 12
Practice Address - Street 2:
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113-6198
Practice Address - Country:US
Practice Address - Phone:501-454-4519
Practice Address - Fax:501-500-5957
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-20
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005915363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily