Quillen, Linda R

Quillen, Linda R is an individual health care provider with primary practice located at 818 Sunset Dr Suite 103, Johnson City TN 37604-8310. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Quillen, Linda R can be contacted via phone (423) 794-3142.

Contact Information

Primary practice address
818 Sunset Dr Suite 103 Johnson City TN 37604-8310
Phone: (423) 794-3142
Fax: (423) 794-3184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APN6094 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6094 Tennessee

Profile Details

NPI number 1548281785
LBN Legal business name Quillen, Linda R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Feb 8th, 2012 - about 13 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 1548281785 NPPES
Tennessee MEDICAID 3902189

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