Individual
LINDA BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
100 HIGHWAY 535, SEMINARY, MS 39479-8809
(601) 722-3208
(601) 722-3304
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-8700
(601) 582-5461
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R724564
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124977
—
MS
01
—
11563865
CAQH ID NUMBER
MS
01
—
1719348P01
CIGNA
MS
01
—
228529
UNITED HEALTH CARE
MS
01
—
7946491
AETNA
MS
Enumeration date
12/23/2005
Last updated
01/16/2012
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