Provider Demographics
NPI:1497568505
Name:SCOTT, HOLLI LYNN (FNP)
Entity type:Individual
Prefix:
First Name:HOLLI
Middle Name:LYNN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:HOLLI
Other - Middle Name:LYNN
Other - Last Name:SIPPLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:301 E KANSAS ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:KS
Mailing Address - Zip Code:66043-1619
Mailing Address - Country:US
Mailing Address - Phone:660-973-7619
Mailing Address - Fax:
Practice Address - Street 1:301 E KANSAS ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:KS
Practice Address - Zip Code:66043-1619
Practice Address - Country:US
Practice Address - Phone:913-727-3235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025002305363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner