Lindsey Mae Black, PNP
Nurse Practitioner, Pediatrics in Springfield, MO. Individual provider (NPI-1).
NPI number1083421812
StatusActive
Last updated in NPPESAug 21, 2025
Details
- NPI
- 1083421812
- Entity type
- Individual (NPI-1)
- Name
- Lindsey Mae Black
- Credential
- PNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2024
- Certification date
- Aug 21, 2025
- Last updated
- Aug 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 2024048637 | MO | Yes |
Practice location
1335 E Republic Rd Ste DSpringfield, MO 65804-7220
Phone 417-363-3900 · Fax 417-313-9998
Mailing address
983 S Gettysburg LoopRepublic, MO 65738-4238
Phone 816-695-1185
Other practice locations
1000 E Primrose St Ste 300
Springfield, MO 65807-5178
Springfield, MO 65807-5178
Phone 417-269-3700
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