Provider Demographics
NPI:1073288320
Name:LINTON, HEATHER MICHELLE (FPMHNP- BC, RN, BSN)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:MICHELLE
Last Name:LINTON
Suffix:
Gender:
Credentials:FPMHNP- BC, RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 681029
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37068-1029
Mailing Address - Country:US
Mailing Address - Phone:855-560-4999
Mailing Address - Fax:833-263-5839
Practice Address - Street 1:129 N LOCUST AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:TN
Practice Address - Zip Code:38464-3757
Practice Address - Country:US
Practice Address - Phone:855-560-4999
Practice Address - Fax:877-944-1405
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000250924163W00000X
KY4005187363LP0808X
AL3-001321363LP0808X
NC5021201363LP0808X
TN32002363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5021201OtherNC NP
AL3-001321OtherAL NP
TN4005187OtherKY NP
TN32002OtherTN NP