Healthcare Provider Details

I. General information

NPI: 1568800662
Provider Name (Legal Business Name): LINDA MARIE HEDGES APN-FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDA MEIER

II. Dates (important events)

Enumeration Date: 06/11/2013
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 CARDINAL DR
ROANOKE RAPIDS NC
27870-4946
US

IV. Provider business mailing address

130 CARDINAL DR
ROANOKE RAPIDS NC
27870-4946
US

V. Phone/Fax

Practice location:
  • Phone: 252-308-0686
  • Fax: 252-308-0872
Mailing address:
  • Phone: 252-308-0686
  • Fax: 252-308-0872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5019830
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: