MEDICARE: MS. WHITLEY S LINSON

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	363LF0000X	Family Nurse Practitioner	907511	MS
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1710601885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. WHITLEY S LINSON

Provider Business Mailing Address
First Line	:	2501 RIVER OAKS BLVD APT 6C
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39211-3630
Country	:	US
Telephone Number	:	601-613-4859
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 607
Second Line	:
City	:	CANTON
State	:	MS
Zip	:	39046-0607
Country	:	US
Telephone Number	:	601-859-9888
Fax Number	:	601-859-9004

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

Provider Enumeration Date	:	10/03/2022
Last Update Date	:	02/04/2026

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Directions to “ MS. WHITLEY S LINSON ” Practice Location

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