Provider Demographics
NPI:1255225645
Name:LINENS, AUTUMN BROOKE HALL
Entity type:Individual
Prefix:MRS
First Name:AUTUMN
Middle Name:BROOKE HALL
Last Name:LINENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 FALLS ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-4316
Mailing Address - Country:US
Mailing Address - Phone:304-573-0425
Mailing Address - Fax:
Practice Address - Street 1:1344 N CENTER ST STE A
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-2797
Practice Address - Country:US
Practice Address - Phone:828-326-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5022311363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner