Provider Demographics
NPI:1750903415
Name:DUPREE, LINDA MICHELLE (CRNP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:MICHELLE
Last Name:DUPREE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:HOLT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:24B CAMDEN BYP
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:AL
Mailing Address - Zip Code:36726-1770
Mailing Address - Country:US
Mailing Address - Phone:334-882-1919
Mailing Address - Fax:
Practice Address - Street 1:24B CAMDEN BYP
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:AL
Practice Address - Zip Code:36726-1770
Practice Address - Country:US
Practice Address - Phone:334-882-1919
Practice Address - Fax:334-636-1989
Is Sole Proprietor?:No
Enumeration Date:2020-05-15
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-108839363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily