Provider Demographics
NPI:1295087039
Name:BYRD, LINDA GLADYS (FNP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:GLADYS
Last Name:BYRD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1773 AUBURN LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-6447
Mailing Address - Country:US
Mailing Address - Phone:270-627-3397
Mailing Address - Fax:931-231-8917
Practice Address - Street 1:1773 AUBURN LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-6447
Practice Address - Country:US
Practice Address - Phone:270-627-3397
Practice Address - Fax:731-231-8917
Is Sole Proprietor?:No
Enumeration Date:2012-10-03
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17056363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily