Provider Demographics
NPI:1346338035
Name:LINTON, MARION C (FNP)
Entity Type:Individual
Prefix:
First Name:MARION
Middle Name:C
Last Name:LINTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MARION
Other - Middle Name:SILVIA
Other - Last Name:CONNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1001 14TH ST
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39301-4458
Mailing Address - Country:US
Mailing Address - Phone:601-482-9224
Mailing Address - Fax:601-482-9223
Practice Address - Street 1:1001 14TH ST
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301-4458
Practice Address - Country:US
Practice Address - Phone:601-482-9224
Practice Address - Fax:601-482-9223
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR603708363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
891013120OtherMEDICAID OF ALABAMA
MS04436306Medicaid
891013120OtherMEDICAID OF ALABAMA
500002247Medicare Oscar/Certification