Provider Demographics
NPI:1962381814
Name:STEWART, LINDA MICHELLE (CPRS)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:MICHELLE
Last Name:STEWART
Suffix:
Gender:F
Credentials:CPRS
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:MICHELLE
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPRS
Mailing Address - Street 1:518 N HARRIS RD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:TN
Mailing Address - Zip Code:37148-4723
Mailing Address - Country:US
Mailing Address - Phone:615-419-8105
Mailing Address - Fax:
Practice Address - Street 1:1900 PATTERSON ST STE 205
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2165
Practice Address - Country:US
Practice Address - Phone:615-419-8105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN000-2048175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist