Individual
LINDA R QUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
818 SUNSET DR, SUITE 103, JOHNSON CITY, TN 37604-8310
(423) 794-3142
(423) 794-3184
Mailing address
818 SUNSET DR, SUITE 103, JOHNSON CITY, TN 37604-8310
(423) 794-3142
(423) 794-3184
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6094
TN
363LG0600X
Gerontology Nurse Practitioner
APN6094
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3902189
—
TN
Enumeration date
07/22/2006
Last updated
02/08/2012
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