Basic Information
Provider Information
NPI: 1700456944
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RIGSBY
FirstName: LINDSEY
MiddleName: LEIGH ANN
NamePrefix: MRS.
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 265 OCTOBER WAY
Address2:  
City: GUNTERSVILLE
State: AL
PostalCode: 359764401
CountryCode: US
TelephoneNumber: 2565584408
FaxNumber:  
Practice Location
Address1: 4055 VALLEY VIEW LN STE 700
Address2:  
City: DALLAS
State: TX
PostalCode: 752445045
CountryCode: US
TelephoneNumber: 9727153800
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/29/2021
LastUpdateDate: 06/29/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/29/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP2300X13-7270ALY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care

No ID Information.


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