Provider Demographics
NPI:1316979875
Name:WORD, LILNDA J (ARNP)
Entity type:Individual
Prefix:MS
First Name:LILNDA
Middle Name:J
Last Name:WORD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:J
Other - Last Name:WORD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:1601 SW ARCHER RD
Mailing Address - Street 2:COMPENSATION & PENSION CLINIC
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-1135
Mailing Address - Country:US
Mailing Address - Phone:352-338-4900
Mailing Address - Fax:352-338-4950
Practice Address - Street 1:1601 SW ARCHER RD
Practice Address - Street 2:COMPENSATION AND PENSION CLINIC
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1135
Practice Address - Country:US
Practice Address - Phone:352-265-0076
Practice Address - Fax:352-338-9880
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2840452363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL305978200Medicaid