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NPI Code Detail

MEDICARE: MARTHA LINAN PMHNP

MEDICARE:   MARTHA  LINAN  PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11043743FL

General Provider Information

NPI Number : 1447603626
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA LINAN PMHNP
Provider Business Mailing Address
First Line : 6858 JACK HORNER LN
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-3618
Country : US
Telephone Number : 315-816-2541
Fax Number :
Provider Business Practice Location Address
First Line : 6858 JACK HORNER LN
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-3618
Country : US
Telephone Number : 315-816-2541
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2016
Last Update Date : 01/14/2026

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