Provider Demographics
NPI:1063584704
Name:ROGERS, LINDA THOMPSON (APRN)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:THOMPSON
Last Name:ROGERS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:MAE
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:205 LAMP POST RD
Mailing Address - Street 2:
Mailing Address - City:INMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29349
Mailing Address - Country:US
Mailing Address - Phone:864-472-9435
Mailing Address - Fax:864-472-5071
Practice Address - Street 1:SPARTANBURG COUNTY HEALTH OFFICE-REGION 2
Practice Address - Street 2:151 EAST WOOD STREET
Practice Address - City:SPARTANBERG
Practice Address - State:SC
Practice Address - Zip Code:29305-4217
Practice Address - Country:US
Practice Address - Phone:864-596-2227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC675163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse