Healthcare Provider Details

I. General information

NPI: 1790598100
Provider Name (Legal Business Name): LINDSAY WILSON SCHNUTE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 YORKTOWN DR STE 100
FAYETTEVILLE GA
30214-7663
US

IV. Provider business mailing address

101 YORKTOWN DR STE 100
FAYETTEVILLE GA
30214-7663
US

V. Phone/Fax

Practice location:
  • Phone: 770-460-4285
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN206844
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: