Provider Demographics
NPI:1346605680
Name:FLICKINGER, LINDA E (APRN)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:E
Last Name:FLICKINGER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:E
Other - Last Name:CALLAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:8063 BEATLE BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-8226
Mailing Address - Country:US
Mailing Address - Phone:609-477-3373
Mailing Address - Fax:
Practice Address - Street 1:8063 BEATLE BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-8226
Practice Address - Country:US
Practice Address - Phone:609-477-3373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-30
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704394087363LP0808X
NJ26NJ00665500363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health