Provider Demographics
NPI:1629326392
Name:HANCOCK, LINDSAY DANIELLE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:DANIELLE
Last Name:HANCOCK
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 PRIVATE ROAD 574
Mailing Address - Street 2:
Mailing Address - City:PROCTORVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45669-7007
Mailing Address - Country:US
Mailing Address - Phone:304-380-1546
Mailing Address - Fax:
Practice Address - Street 1:216 PRIVATE ROAD 574
Practice Address - Street 2:
Practice Address - City:PROCTORVILLE
Practice Address - State:OH
Practice Address - Zip Code:45669-7007
Practice Address - Country:US
Practice Address - Phone:304-380-1546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-28
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV66801363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily