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NPI Code Detail

MEDICARE: LINDA JEAN ANDERSON ARNP

MEDICARE:   LINDA JEAN ANDERSON  ARNP
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 Practitioner3374SKY

General Provider Information

NPI Number : 1548263775
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA JEAN ANDERSON ARNP
Provider Business Mailing Address
First Line : 289 IRELAND AVE
Second Line :
City : FORT KNOX
State : KY
Zip : 40121-5111
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 289 IRELAND AVE
Second Line :
City : FORT KNOX
State : KY
Zip : 40121-5111
Country : US
Telephone Number : 502-626-6225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 10/24/2011

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Directions to “ LINDA JEAN ANDERSON ARNP” Practice Location

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