Provider Demographics
NPI:1023461076
Name:DUKES, LINDA (APRN)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:DUKES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:KAY
Other - Last Name:DUKES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:1995 OLD DALLAS RD
Mailing Address - Street 2:
Mailing Address - City:ROYAL
Mailing Address - State:AR
Mailing Address - Zip Code:71968-9672
Mailing Address - Country:US
Mailing Address - Phone:501-627-8728
Mailing Address - Fax:501-760-4820
Practice Address - Street 1:3564 ALBERT PIKE RD
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-9542
Practice Address - Country:US
Practice Address - Phone:501-651-7856
Practice Address - Fax:501-760-4820
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-14
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004634364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health