Provider Demographics
NPI:1336416437
Name:COAKLEY, LINDA NELL (EDD, APN)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:NELL
Last Name:COAKLEY
Suffix:
Gender:F
Credentials:EDD, APN
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:NELL
Other - Last Name:DRAKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2405 EWELL ELLIOTT RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37172-5622
Mailing Address - Country:US
Mailing Address - Phone:615-212-9901
Mailing Address - Fax:615-760-5523
Practice Address - Street 1:4901 NOLENSVILLE RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-5411
Practice Address - Country:US
Practice Address - Phone:615-760-5022
Practice Address - Fax:615-760-5523
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000005126363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily