Healthcare Provider Details

I. General information

NPI: 1528386893
Provider Name (Legal Business Name): LINDA WALSH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2010
Last Update Date: 04/26/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 A ST
MAGNOLIA AR
71753-3653
US

IV. Provider business mailing address

229 A ST
MAGNOLIA AR
71753-3653
US

V. Phone/Fax

Practice location:
  • Phone: 870-234-2600
  • Fax:
Mailing address:
  • Phone: 870-234-2600
  • Fax: 870-234-2606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR12757
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: