Provider Demographics
NPI:1922138684
Name:GAUMONT, LINDA RUTH (RN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:RUTH
Last Name:GAUMONT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 BOATMAN RD
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38506-8281
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:744 SCHOOL DR
Practice Address - Street 2:TN DEPT OF HEALTH
Practice Address - City:GAINESBORO
Practice Address - State:TN
Practice Address - Zip Code:38562-9575
Practice Address - Country:US
Practice Address - Phone:931-268-0218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN70029163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse