Healthcare Provider Details

I. General information

NPI: 1851311708
Provider Name (Legal Business Name): LINDA LOUISE LAUGHLIN RN, MSN, ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 LEBANON RD
MURFREESBORO TN
37129-1237
US

IV. Provider business mailing address

7102 VALLEY VIEW RD
LASCASSAS TN
37085-4112
US

V. Phone/Fax

Practice location:
  • Phone: 615-867-6025
  • Fax: 615-867-5913
Mailing address:
  • Phone: 615-849-9633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPN0000005731
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: