Individual
MS. LINSEY NOEL VANOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1121
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKNOWN
INSURANCE
TN
05
—
UNKNOWN
—
TN
Enumeration date
01/02/2021
Last updated
01/02/2021
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