LINDSEY MARLOWE FORTENBERRY NP NPI 1740573047

NPI Information

NPI: 1740573047
Provider Name: LINDSEY MARLOWE FORTENBERRY, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1000 CHINABERRY DR STE 1002
BOSSIER CITY, LA
ZIP 71111
Phone: (318) 562-3911
Get Directions

Lindsey Marlowe Fortenberry, NP is a family nurse practitioner in Bossier City, LA. Lindsey Marlowe Fortenberry, NP NPI is 1740573047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 CHINABERRY DR STE 1002
BOSSIER CITY, LA
ZIP 71111-463
Phone: (318) 562-3911
Fax: (318) 562-3921

The NPI 1740573047 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/18/2011 and was last updated on 3/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	AP06299	LOUISIANA	No
2	363LF0000X	Nurse Practitioner	Family	121136	TEXAS	No
3	363LW0102X	Nurse Practitioner	Women's Health	AP121136	TEXAS	No
4	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	AP06299	LOUISIANA	No
5	363LF0000X	Nurse Practitioner	Family	AP06299	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2534530	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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