Provider Demographics
NPI:1912206632
Name:HUTTO, LYNDSEY TAYLOR (NP)
Entity type:Individual
Prefix:MRS
First Name:LYNDSEY
Middle Name:TAYLOR
Last Name:HUTTO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3405 DALLAS HWY SW STE 200
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-6426
Mailing Address - Country:US
Mailing Address - Phone:678-802-8665
Mailing Address - Fax:678-540-4250
Practice Address - Street 1:3405 DALLAS HWY SW STE 200
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-6426
Practice Address - Country:US
Practice Address - Phone:678-802-8665
Practice Address - Fax:678-540-4250
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN188938363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily