Provider Demographics
NPI:1427020858
Name:MCCLURE, LINDA J (FNP)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:J
Last Name:MCCLURE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:185 TREASURE LN
Mailing Address - Street 2:NORTHEAST TENNESSEE REGIONAL HEALTH OFFICE
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-7816
Mailing Address - Country:US
Mailing Address - Phone:423-979-3200
Mailing Address - Fax:
Practice Address - Street 1:1233 SOUTHWEST AVE
Practice Address - Street 2:NORTHEAST TENNESSEE REGIONAL HEALTH OFFICE
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-6596
Practice Address - Country:US
Practice Address - Phone:423-979-3200
Practice Address - Fax:423-979-3267
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNTNRN108700163W00000X
TNTNAPN7303363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse