Active NPIIndividual provider

Linda A Jackson, RN

Registered Nurse, Addiction (Substance Use Disorder) in Providence, Rhode Island

NPI Number1235458100
Practice location
830 Chalkstone Ave, Providence, RI 02908-4734
Fax
—
Last updated
May 18, 2010

Linda Ann Jackson is a Registered Nurse, Addiction (Substance Use Disorder) based in Providence, RI. Linda Ann Jackson practices in Providence, RI and has the professional credentials of RN. The NPI Number for Linda Ann Jackson is 1235458100 and holds a License No. RN34586 (RI). The current practice location address for Linda Ann Jackson is 830 Chalkstone Ave, Providence, RI 02908-4734 and can be reached out via phone at 401-273-7100.

Provider Profile Details

NPI Number
1235458100
Provider Name
Linda Ann Jackson
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
830 Chalkstone Ave, Providence, RI 02908-4734
Phone Number
401-273-7100
Sole Proprietor
No
Provider Enumeration Date
May 18, 2010
Last Update Date
May 18, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
830 Chalkstone Ave
Providence, RI 02908-4734
Zip
02908-4734
Phone Number
401-273-7100
Providence, RI 02908Get directions →

Provider Business Mailing Address Details

Address
60 Linden Ave
Fairhaven, MA 02719-3257
City
Fairhaven
State
MA
Zip
02719-3257
Phone Number
508-997-8431

License Information

License Number (1)
RN34586
License State (1)
RI
Taxonomy (1)
Registered Nurse, Addiction (Substance Use Disorder) · 163WA0400X · Primary
License Number (2)
RN214244
License State (2)
MA
Taxonomy (2)
Registered Nurse, Medical-Surgical · 163WM0705X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Linda A Jackson, RN?

The NPI number of Linda A Jackson, RN is 1235458100. It was assigned on May 18, 2010 and is currently active in the NPPES registry.

What is the specialty of Linda A Jackson, RN?

Linda A Jackson, RN is registered under the primary taxonomy Registered Nurse, Addiction (Substance Use Disorder) (code 163WA0400X), licensed in RI under license number RN34586.

Where does Linda A Jackson, RN practice?

The practice location is 830 Chalkstone Ave, Providence, RI 02908-4734. The office can be reached at 401-273-7100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235458100 directly on the NPPES registry website.

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