Provider Demographics
NPI:1528837507
Name:REYNOLDS, LINDSEY DELAIN
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:DELAIN
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 SAINT JOHN ST
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-2828
Mailing Address - Country:US
Mailing Address - Phone:870-612-0338
Mailing Address - Fax:
Practice Address - Street 1:9601 BAPTIST HEALTH DR STE 200
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6342
Practice Address - Country:US
Practice Address - Phone:501-223-2860
Practice Address - Fax:501-223-2258
Is Sole Proprietor?:No
Enumeration Date:2024-01-01
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR24266821163W00000X
AR215704363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse