Provider Demographics
NPI:1538287198
Name:REED, LINDA C (APN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:C
Last Name:REED
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3789 COVINGTON PIKE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38135-2279
Mailing Address - Country:US
Mailing Address - Phone:901-372-3200
Mailing Address - Fax:901-388-9501
Practice Address - Street 1:3789 COVINGTON PIKE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38135-2279
Practice Address - Country:US
Practice Address - Phone:901-372-3200
Practice Address - Fax:901-388-9501
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000005323363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health