Provider Demographics
NPI:1699925578
Name:PARADISE, LINDA MARIE (CRNP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:MARIE
Last Name:PARADISE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:333 COMMERCE ST
Mailing Address - Street 2:SUITE 700
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37201-1826
Mailing Address - Country:US
Mailing Address - Phone:615-913-5086
Mailing Address - Fax:888-494-2588
Practice Address - Street 1:2100 SOUTHBRIDGE PKWY
Practice Address - Street 2:SUITE 650
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-1302
Practice Address - Country:US
Practice Address - Phone:205-533-8902
Practice Address - Fax:888-867-8627
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3185662363L00000X
AL1-048729363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP3185662OtherFLORIDA MEDICAL LICENSE
FLARNP3185662OtherFLORIDA MEDICAL LICENSE