| Doctor Name: | LINDA BOSWELL WHALEY |
| NPI Number: | 1114905981 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN, GNP, ANP |
| License Number: | 600035 |
| Business Practice Address: | 2066 Nc Highway 125 Roanoke Rapids, NC - 278709436 |
| Business Phone Number: | 2525365000 |
| Business Fax Number: | 2525362258 |
| Mailing Address: | Po Box 1326, ROANOKE RAPIDS |
| State: | NC |
| Postal Code: | 278701326 |
| Phone Number: | 2525365000 |
| Fax Number: | 2525362258 |
| NPI Enumeration Date: | 01/03/2006 |
| NPI Last Update Date: | 02/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 600035 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |