Linda Diane Trent FNP

NPI 1730178344 - Family Medicine - 207Q00000X

NPI Details
NPI 1730178344
Gender Female
Enumeration Date 10/17/2005
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
9075 SANDIDGE CENTER COVE
OLIVE BRANCH MS, 38654, US
Phone (662) 895-4949
Fax (662) 895-6776
Business Location
5675 CENTER HILL RD
OLIVE BRANCH MS, 38654-8613, US
Phone (662) 895-8377
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Mississippi
License Number R786571
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According to our database, Ms. Linda Diane Trent FNP NPI is 1730178344, taxonomy code is 207Q00000X and license number is R786571, license state is located at Mississippi. Linda Diane Trent FNP physically located at 9075 Sandidge Center Cove, Olive Branch MS, 38654. NPI Number Linda Diane Trent FNP has the Individual type.

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1730178344 NPI number is provided on an as is basis without warranty of any kind. 1730178344 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Diane Trent FNP are for informational purposes only.