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NPI Code Detail

MEDICARE: LINDA I. MCLENDON CNM

MEDICARE: LINDA I. MCLENDON CNM
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
1367A00000XAdvanced Practice MidwifeR699918MS

Other Identifiers

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

General Provider Information

NPI Number : 1568444024
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA I. MCLENDON CNM
Provider Business Mailing Address
First Line : PO BOX 5208
Second Line :
City : MERIDIAN
State : MS
Zip : 39302-5208
Country : US
Telephone Number : 601-703-4282
Fax Number : 601-703-4597
Provider Business Practice Location Address
First Line : 905C S FRONTAGE RD
Second Line :
City : MERIDIAN
State : MS
Zip : 39301-6113
Country : US
Telephone Number : 601-486-4210
Fax Number : 601-486-4219
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 11/08/2013

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Directions to “ LINDA I. MCLENDON CNM” Practice Location

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