Provider Demographics
NPI:1639203417
Name:FINCH, LINDA C (APRNBC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:C
Last Name:FINCH
Suffix:
Gender:F
Credentials:APRNBC
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:PHILLIPS
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN
Mailing Address - Street 1:2714 UNION AVENUE EXT
Mailing Address - Street 2:SUITE 150
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38112-4436
Mailing Address - Country:US
Mailing Address - Phone:901-725-0872
Mailing Address - Fax:901-278-6934
Practice Address - Street 1:2714 UNION AVENUE EXT
Practice Address - Street 2:SUITE 150
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112-4436
Practice Address - Country:US
Practice Address - Phone:901-725-0872
Practice Address - Fax:901-278-6934
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000011484363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4166314OtherBCBST
TN228075OtherUNISON
TNPOO761368OtherPALMETTO GBA
TN3341096Medicaid
TN5386722OtherCIGNA
TN5386722OtherCIGNA