MEDICARE: LINDA NELL HUNTER FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	R51032	AR
2	363L00000X	Nurse Practitioner	R850763	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376555045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA NELL HUNTER FNP-BC

Provider Business Mailing Address
First Line	:	1201 HIGHWAY 49 S STE 4
Second Line	:
City	:	RICHLAND
State	:	MS
Zip	:	39218-9438
Country	:	US
Telephone Number	:	601-932-6400
Fax Number	:	601-664-0006

Provider Business Practice Location Address
First Line	:	1201 HIGHWAY 49 S STE 4
Second Line	:
City	:	RICHLAND
State	:	MS
Zip	:	39218-9438
Country	:	US
Telephone Number	:	601-932-6400
Fax Number	:	601-664-0006

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	08/03/2023

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Directions to “ LINDA NELL HUNTER FNP-BC” Practice Location

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