Provider Demographics
NPI:1568462182
Name:PARIMORE, LINDA JANE (FNP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:JANE
Last Name:PARIMORE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1999 HIGHWAY 51 S
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38019-3630
Mailing Address - Country:US
Mailing Address - Phone:901-476-4457
Mailing Address - Fax:901-475-4389
Practice Address - Street 1:1999 HIGHWAY 51 S
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:TN
Practice Address - Zip Code:38019-3630
Practice Address - Country:US
Practice Address - Phone:901-476-4457
Practice Address - Fax:901-475-4389
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2017-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000037812363LF0000X
TNAPN0000005224363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN708010203OtherCARITEN HEALTHCARE
TN3347410Medicaid
TN100035767OtherCARITEN PHP
TN4005709OtherBCBS
TN500025446OtherRAILROAD MEDICARE
TNTN0102OtherJOHN DEERE
TNTN0102OtherJOHN DEERE
TN4005709OtherBCBS