Healthcare Provider Details

I. General information

NPI: 1457489114
Provider Name (Legal Business Name): LINDA JOAN ARZENTE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 EIGHTH ST.
CLARKSVILLE TN
37040
US

IV. Provider business mailing address

137 LYME DR
CLARKSVILLE TN
37043-7419
US

V. Phone/Fax

Practice location:
  • Phone: 931-920-7238
  • Fax: 931-920-7202
Mailing address:
  • Phone: 931-358-0290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN0000100648
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: