Provider Demographics
NPI:1356526875
Name:BROWN, LINDA (RDN)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:HASSLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:46 CLEVELAND STREET
Mailing Address - Street 2:SUITE 340
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555
Mailing Address - Country:US
Mailing Address - Phone:931-459-7164
Mailing Address - Fax:
Practice Address - Street 1:46 CLEVELAND STREET
Practice Address - Street 2:SUITE 340
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555
Practice Address - Country:US
Practice Address - Phone:931-459-7164
Practice Address - Fax:931-210-5032
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLDN0000000534133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP54427OtherUPIN
TNQ054145Medicaid