Healthcare Provider Details

I. General information

NPI: 1104736693
Provider Name (Legal Business Name): LINDA MAYS ARNP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E 3RD ST
BROOKPORT IL
62910-2857
US

IV. Provider business mailing address

PO BOX 7174
PADUCAH KY
42002-7174
US

V. Phone/Fax

Practice location:
  • Phone: 618-404-8855
  • Fax: 786-590-1607
Mailing address:
  • Phone: 618-404-8855
  • Fax: 786-590-1607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LINDA J. MAYS
Title or Position: OWNER
Credential:
Phone: 305-530-8262