Individual
TABITHA LEANN LINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 MANNING DR BLDG 2, CHAPEL HILL, NC 27514-4423
(984) 974-7817
Mailing address
420 GRANITE MILL BLVD, CHAPEL HILL, NC 27516-4569
(704) 219-0648
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5015103
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
5015103
NC
Other
Enumeration date
09/23/2021
Last updated
10/20/2022
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