Healthcare Provider Details

I. General information

NPI: 1811993082
Provider Name (Legal Business Name): JULIE R. LINDER A.P.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 03/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 WARNOCK SPRINGS RD
MAGNOLIA AR
71753-9000
US

IV. Provider business mailing address

38 WARNOCK SPRINGS RD
MAGNOLIA AR
71753-9000
US

V. Phone/Fax

Practice location:
  • Phone: 870-234-1361
  • Fax:
Mailing address:
  • Phone: 870-234-1361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR874973
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA01317
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: