Provider Demographics
NPI:1053917070
Name:HOLLYWOOD, LINDSEY SCHENCK (APRN FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:SCHENCK
Last Name:HOLLYWOOD
Suffix:
Gender:F
Credentials:APRN FNP-BC
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:KAY
Other - Last Name:SCHENCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN FNP-BC
Mailing Address - Street 1:3212 TOLL GATE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-8640
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1850 N HIGHWAY 190
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-5157
Practice Address - Country:US
Practice Address - Phone:985-809-1515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-06
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3015509363LF0000X
LA221502363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily