Provider Demographics
NPI:1639719867
Name:DIAL, LINDA S, (APP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:S,
Last Name:DIAL
Suffix:
Gender:F
Credentials:APP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6833 COLLINSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-3953
Mailing Address - Country:US
Mailing Address - Phone:615-646-2764
Mailing Address - Fax:615-875-3535
Practice Address - Street 1:1301 MEDICAL CENTER DRIVE TVC
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-343-2764
Practice Address - Fax:615-875-3535
Is Sole Proprietor?:No
Enumeration Date:2020-01-15
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN0000005454364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health