LINDA PREBBLE RN FNP NPI 1023053907

NPI Information

NPI: 1023053907
Provider Name: LINDA PREBBLE, RN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
260 SOUTH MAIN STREET
MAMMOTH SPRING, AR
ZIP 72554
Phone: (807) 625-3228
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Linda Prebble, RN, FNP is a family nurse practitioner in Mammoth Spring, AR. Linda Prebble, RN, FNP NPI is 1023053907. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

260 SOUTH MAIN STREET
MAMMOTH SPRING, AR
ZIP 72554
Phone: (807) 625-3228
Fax: (870) 625-3227

The enumeration date for this NPI number is 6/17/2006 and was last updated on 8/6/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		655175	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	2010012214	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1023053907	MEDICAID	MISSOURI
2	8D7099	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
3	132300128	MEDICARE PIN	MISSOURI
4	431560263	OTHER		TRICARE WEST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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