=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902945777
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TERRY LUGENE LINKOUS RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/06/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 201 PARK BLVD
-----------------------------------------------------
City | ROGERSVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37857-2919
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 423-272-7641
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 235 ARRINGTON RD
-----------------------------------------------------
City | ROGERSVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37857-7023
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 423-272-9289
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | RN0000080574
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163WC1500X
-----------------------------------------------------
Taxonomy Name | Community Health Registered Nurse
-----------------------------------------------------
License Number | RN0000080574
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------