Provider Demographics
NPI:1538699483
Name:PAGE, CATHERINE LINDSAY (FNP)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:LINDSAY
Last Name:PAGE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 SHELL OIL RD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39042-8433
Mailing Address - Country:US
Mailing Address - Phone:601-955-8178
Mailing Address - Fax:
Practice Address - Street 1:971 LAKELAND DR STE 950
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4608
Practice Address - Country:US
Practice Address - Phone:601-362-6900
Practice Address - Fax:601-362-6111
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS902079363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily