Provider Demographics
NPI:1376555045
Name:HUNTER, LINDA NELL (FNP-BC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:NELL
Last Name:HUNTER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 HIGHWAY 49 S STE 4
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:MS
Mailing Address - Zip Code:39218-9438
Mailing Address - Country:US
Mailing Address - Phone:601-932-6400
Mailing Address - Fax:601-664-0006
Practice Address - Street 1:1201 HIGHWAY 49 S STE 4
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:MS
Practice Address - Zip Code:39218-9438
Practice Address - Country:US
Practice Address - Phone:601-932-6400
Practice Address - Fax:601-664-0006
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR51032363L00000X
MSR850763363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS06423025Medicaid
AR161433758Medicaid
MS500002004Medicare PIN
AR161433758Medicaid