Individual provider · Type 1 NPI

Lindsey Mae Black, PNP

Pediatric Nurse Practitioner · Springfield, MO

NPI number 1083421812 Active

Practice location

1335 E Republic Rd Ste D
Springfield, MO 65804-7220

Fax (417) 313-9998

Mailing address

983 S Gettysburg Loop
Republic, MO 65738-4238

Other practice locations

  • 1000 E Primrose St Ste 300, Springfield, MO 65807-5178 · (417) 269-3700

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X2024048637 (MO)

Pediatric Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1083421812

Lindsey Mae Black, PNP's National Provider Identifier is 1083421812, issued on Dec 16, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Springfield, MO. The record was last updated on Aug 21, 2025.