Provider Demographics
NPI:1790999027
Name:BARRON, LINDA JANE (FNP,WHNP)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:JANE
Last Name:BARRON
Suffix:
Gender:F
Credentials:FNP,WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 COMBES AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-3206
Mailing Address - Country:US
Mailing Address - Phone:516-536-3994
Mailing Address - Fax:
Practice Address - Street 1:185 MERRICK RD
Practice Address - Street 2:SUITE 1A
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-2700
Practice Address - Country:US
Practice Address - Phone:516-536-3994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF332629-1363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care