Basic Information
| Provider Information | |||||||||
| NPI: | 1639203417 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FINCH | ||||||||
| FirstName: | LINDA | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | APRNBC | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | WALKER | ||||||||
| OtherFirstName: | LINDA | ||||||||
| OtherMiddleName: | PHILLIPS | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | MSN | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 2714 UNION AVENUE EXT | ||||||||
| Address2: | SUITE 150 | ||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381124436 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9017250872 | ||||||||
| FaxNumber: | 9012786934 | ||||||||
| Practice Location | |||||||||
| Address1: | 2714 UNION AVENUE EXT | ||||||||
| Address2: | SUITE 150 | ||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381124436 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9017250872 | ||||||||
| FaxNumber: | 9012786934 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/15/2007 | ||||||||
| LastUpdateDate: | 09/14/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | APN0000011484 | TN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
ID Information
| ID | Type | State | Issuer | Description | 4166314 | 01 | TN | BCBST | OTHER | 228075 | 01 | TN | UNISON | OTHER | POO761368 | 01 | TN | PALMETTO GBA | OTHER | 3341096 | 05 | TN | MEDICAID | 5386722 | 01 | TN | CIGNA | OTHER |