MEDICARE: MS. LINDA KATHRYN MEDFORD RN, WHNP-C

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	363LW0102X	Women's Health Nurse Practitioner	11175	TN
2	363L00000X	Nurse Practitioner	11175	TN

General Provider Information

NPI Number	:	1699756098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA KATHRYN MEDFORD RN, WHNP-C

Provider Business Mailing Address
First Line	:	1745 TIMBER CREEK RD NE
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37323-4060
Country	:	US
Telephone Number	:	423-476-5865
Fax Number	:

Provider Business Practice Location Address
First Line	:	1745 TIMBER CREEK RD NE
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37323-4060
Country	:	US
Telephone Number	:	423-476-5865
Fax Number	:

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

Provider Enumeration Date	:	11/11/2005
Last Update Date	:	05/14/2026

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