Healthcare Provider Details

I. General information

NPI: 1639719867
Provider Name (Legal Business Name): LINDA S, DIAL APP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2020
Last Update Date: 01/15/2020
Certification Date: 01/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 MEDICAL CENTER DRIVE TVC
NASHVILLE TN
37232-0001
US

IV. Provider business mailing address

6833 COLLINSWOOD DR
NASHVILLE TN
37221-3953
US

V. Phone/Fax

Practice location:
  • Phone: 615-343-2764
  • Fax: 615-875-3535
Mailing address:
  • Phone: 615-646-2764
  • Fax: 615-875-3535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number0000005454
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: