Provider Demographics
NPI:1205527934
Name:BOSWELL, LINDSEY (APRN FNP-BC, NP-C)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:BOSWELL
Suffix:
Gender:F
Credentials:APRN FNP-BC, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 PARRISH RD
Mailing Address - Street 2:
Mailing Address - City:SUMRALL
Mailing Address - State:MS
Mailing Address - Zip Code:39482-4482
Mailing Address - Country:US
Mailing Address - Phone:601-410-3262
Mailing Address - Fax:
Practice Address - Street 1:67 PARRISH RD
Practice Address - Street 2:
Practice Address - City:SUMRALL
Practice Address - State:MS
Practice Address - Zip Code:39482-4482
Practice Address - Country:US
Practice Address - Phone:601-410-3262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS886854363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily