Provider Demographics
NPI:1619316536
Name:ANDERSON, LINDA JOAN (PA-C)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JOAN
Last Name:ANDERSON
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:5000 CROSSINGS CIR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-8592
Mailing Address - Country:US
Mailing Address - Phone:615-758-1010
Mailing Address - Fax:615-758-3875
Practice Address - Street 1:5000 CROSSINGS CIR
Practice Address - Street 2:SUITE 101
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-8592
Practice Address - Country:US
Practice Address - Phone:615-758-1010
Practice Address - Fax:615-758-3875
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2017-03-13
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Provider Licenses
StateLicense IDTaxonomies
TNPA597363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant