Healthcare Provider Details

I. General information

NPI: 1467556142
Provider Name (Legal Business Name): LINDA J BARGER APRN BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDA J BACHMAN

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 01/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 MIDWAY ST BRISTOL REGIONAL COUNSELING CENTER
BRISTOL TN
37620
US

IV. Provider business mailing address

PO BOX 9054
GRAY TN
37615-9054
US

V. Phone/Fax

Practice location:
  • Phone: 423-989-4500
  • Fax: 423-989-4582
Mailing address:
  • Phone: 423-467-3600
  • Fax: 423-467-3696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN49958
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN5525
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC256
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: