Provider Demographics
NPI:1568617892
Name:KNIGHTEN, LINDA ADESUWA (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:ADESUWA
Last Name:KNIGHTEN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:ADESUWA
Other - Last Name:EBOHON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2610 EASTON SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2510
Mailing Address - Country:US
Mailing Address - Phone:713-436-2751
Mailing Address - Fax:
Practice Address - Street 1:2610 EASTON SPRINGS CT
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2510
Practice Address - Country:US
Practice Address - Phone:713-436-2751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX684617363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily