Individual
LINDA LEE BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(812) 376-5974
(812) 375-3203
Mailing address
PO BOX 775383 COLUMBUS REGIONAL HEALTH PHYSICIANS LLC, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71005103A
IN
363LG0600X
Gerontology Nurse Practitioner
71005103A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201271630
—
IN
Enumeration date
09/02/2014
Last updated
09/09/2024
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