Gourley, Linda Susan

Gourley, Linda Susan is an individual health care provider with primary practice located at 1059 E Highway 11 E , Jefferson City TN 37760-4910. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gourley, Linda Susan can be contacted via phone (865) 375-6005.

Contact Information

Primary practice address
1059 E Highway 11 E Jefferson City TN 37760-4910
Phone: (865) 375-6005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN5899 Tennessee

Profile Details

NPI number 1508860917
LBN Legal business name Gourley, Linda Susan
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jul 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508860917 NPPES
Tennessee MEDICAID 3907807

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