Provider Demographics
NPI:1679501621
Name:WOODFIN-HIGHTOWER, LINDA MARIE (FNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:MARIE
Last Name:WOODFIN-HIGHTOWER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 657
Mailing Address - Street 2:
Mailing Address - City:LANDRUM
Mailing Address - State:SC
Mailing Address - Zip Code:29356-0657
Mailing Address - Country:US
Mailing Address - Phone:864-457-2363
Mailing Address - Fax:864-457-2731
Practice Address - Street 1:108 W RUTHERFORD ST
Practice Address - Street 2:
Practice Address - City:LANDRUM
Practice Address - State:SC
Practice Address - Zip Code:29356-1526
Practice Address - Country:US
Practice Address - Phone:864-457-2363
Practice Address - Fax:864-457-2731
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1614363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC428995OtherMEDICARE RURAL HEALTH
NC7000138Medicaid
SCRHC183OtherMEDICAID RURAL HEALTH
SCNP0087Medicaid
NC7000138Medicaid
SC9340Medicare PIN