Provider Demographics
NPI:1790068922
Name:MCIVER, LINDA (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:MCIVER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:MCIVER
Other - Last Name:DUXBURY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:220A SANDY SPRINGS PLACE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328
Mailing Address - Country:US
Mailing Address - Phone:404-858-3834
Mailing Address - Fax:404-855-2885
Practice Address - Street 1:220A SANDY SPRINGS PLACE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328
Practice Address - Country:US
Practice Address - Phone:404-858-3834
Practice Address - Fax:404-855-2885
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAF0211278363LF0000X, 363L00000X
GARN109974363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily