Provider Demographics
NPI:1124565684
Name:MCCAFFERTY, LINDA MICHELLE (FNPC)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MICHELLE
Last Name:MCCAFFERTY
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5151 N 9TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-8721
Mailing Address - Country:US
Mailing Address - Phone:850-416-4970
Mailing Address - Fax:850-416-4969
Practice Address - Street 1:5151 N 9TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8721
Practice Address - Country:US
Practice Address - Phone:850-416-4970
Practice Address - Fax:504-164-9698
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-23
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9355032363LF0000X
FLAPRN9355032363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily