Individual provider · NPI-1

Lyndsey Demelza Ackerman, NP

Nurse Practitioner, Pediatrics · Sacramento, CA

NPI number1619630464
StatusActive
Last updated in NPPESMay 16, 2024

Details

NPI
1619630464
Entity type
Individual (NPI-1)
Name
Lyndsey Demelza Ackerman
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 19, 2021
Certification date
May 16, 2024
Last updated
May 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics95018883CAYes

Practice location

2315 Stockton Blvd
Sacramento, CA 95817-2201

Phone 800-282-3284

Mailing address

612 Hibiscus Ct
Brentwood, CA 94513-5567

Phone 952-215-7357

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