Provider Demographics
NPI:1972750339
Name:FLOYD, LINDA JOYCE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JOYCE
Last Name:FLOYD
Suffix:
Gender:F
Credentials:FNP-BC
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 39
Mailing Address - Street 2:
Mailing Address - City:EUFAULA
Mailing Address - State:AL
Mailing Address - Zip Code:36072-0039
Mailing Address - Country:US
Mailing Address - Phone:334-687-9990
Mailing Address - Fax:334-687-9190
Practice Address - Street 1:617 E BROAD ST
Practice Address - Street 2:SUITE B
Practice Address - City:EUFAULA
Practice Address - State:AL
Practice Address - Zip Code:36027-1710
Practice Address - Country:US
Practice Address - Phone:334-687-9990
Practice Address - Fax:334-687-9190
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-099426363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1-099426OtherALABAMA BOARD OF NURSING