Provider Demographics
NPI:1043442049
Name:MARCHAND, LINNEA DESIREE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:LINNEA
Middle Name:DESIREE
Last Name:MARCHAND
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LINNEA
Other - Middle Name:DESIREE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:4196 HIGHWAY 62 412 STE A
Mailing Address - Street 2:
Mailing Address - City:HARDY
Mailing Address - State:AR
Mailing Address - Zip Code:72542-8002
Mailing Address - Country:US
Mailing Address - Phone:931-456-6057
Mailing Address - Fax:833-989-2530
Practice Address - Street 1:13 BOB TOLLETT LOOP
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-2835
Practice Address - Country:US
Practice Address - Phone:931-456-6057
Practice Address - Fax:833-989-2530
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA561005363L00000X
TN25578363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner