MEDICARE: JULIE R. LINDER A.P.N.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A01317	AR
2	363LF0000X	Family Nurse Practitioner	R874973	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811993082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE R. LINDER A.P.N.

Provider Business Mailing Address
First Line	:	38 WARNOCK SPRINGS RD
Second Line	:
City	:	MAGNOLIA
State	:	AR
Zip	:	71753-9000
Country	:	US
Telephone Number	:	870-234-1361
Fax Number	:

Provider Business Practice Location Address
First Line	:	38 WARNOCK SPRINGS RD
Second Line	:
City	:	MAGNOLIA
State	:	AR
Zip	:	71753-9000
Country	:	US
Telephone Number	:	870-234-1361
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	03/21/2014

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