Doctor Name: | MRS. LINDA STOVALL |
NPI Number: | 1689655987 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.R.N.P. |
License Number: | 1920P |
Business Practice Address: | 217 W Main St Scottsville, KY - 421641122 |
Business Phone Number: | 2702399355 |
Business Fax Number: | 2702399356 |
Mailing Address: | 217 W Main St, SCOTTSVILLE |
State: | KY |
Postal Code: | 421641122 |
Phone Number: | 2702399355 |
Fax Number: | 2702399356 |
NPI Enumeration Date: | 11/14/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1920P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |