Provider Demographics
NPI:1336520709
Name:BAKKER, LINDA (CNM)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:BAKKER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:PROPST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:251 N LYERLY ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-2739
Mailing Address - Country:US
Mailing Address - Phone:423-648-7770
Mailing Address - Fax:423-648-7772
Practice Address - Street 1:251 N LYERLY ST
Practice Address - Street 2:SUITE 300
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-2739
Practice Address - Country:US
Practice Address - Phone:423-648-7770
Practice Address - Fax:423-648-7772
Is Sole Proprietor?:No
Enumeration Date:2015-06-11
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20016367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife