| Doctor Name: | MRS. LINDA ELDRETH WILSON |
| NPI Number: | 1043350390 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 053181 |
| Business Practice Address: | 715 W Main St Mountain City, TN - 376831217 |
| Business Phone Number: | 4237279731 |
| Business Fax Number: | 4237274153 |
| Mailing Address: | 3162 Little Laurel Rd, CRESTON |
| State: | NC |
| Postal Code: | 286158930 |
| Phone Number: | 3363852001 |
| Fax Number: | |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 053181 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |