LINDA ANN JACKSON (NPI# 1235458100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235458100 |
Entity Type | Individual |
Full Name | LINDA ANN JACKSON |
Credential | R.N. |
Practice Address |
830 Chalkstone Ave Providence RI 02908-4734 |
Mailing Address |
60 Linden Ave Fairhaven MA 02719-3257 |
Practice Telephone | 4012737100 |
Mailing Telephone | 5089978431 |
Enumeration Date | 2010-05-18 |
Last Update Date | 2010-05-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
RN34586 | RI | Nursing Service Providers |
N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
RN214244 | MA | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558741512 | Linda Jackson | Community Health Worker | 5070 Coleridge Dr, Fairfax, VA 22032-2416 | 2015-06-04 |
1285944538 | Linda Jackson | Counselor | 2817 Se 47th St, Oklahoma City, OK 73129-8727 | 2010-10-19 |
1417282955 | Linda Carol Jackson | Physical Therapy Assistant | 9200 S County Road 300 W, Muncie, IN 47302-8833 | 2009-10-15 |
1992943492 | Linda Gail Jackson | Registered Nurse | 28 Violet Rd, Kings Park, NY 11754-2336 | 2009-01-22 |
1144305046 | Linda M Jackson | Counselor | 417 Ipock St, Vanceboro, NC 28586-7996 | 2006-10-26 |
1033292842 | Linda L. Jackson | Counselor | 2735 Henning Dr, Winston Salem, NC 27106-4578 | 2006-10-23 |
1487742102 | Linda Johnson Jackson | Psychologist | 10701 Corporate Dr Ste 220, Stafford, TX 77477-4093 | 2006-10-10 |
1952910812 | Linda Joyice Jackson | Home Health Aide | 1516 E Tropicana Ave Ste 199, Las Vegas, NV 89119-8323 | 2020-07-27 |
1932766946 | Linda Jackson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-05-24 |
1053816314 | Linda Natasha Rene Jackson | Case Manager/Care Coordinator | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2018-03-28 |
Street Address |
830 CHALKSTONE AVE |
City | PROVIDENCE |
State | RI |
Zip Code | 02908-4734 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174510853 | Frances Ann Bettencourt | Nurse Practitioner | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2005-09-29 |
1881295277 | Johnna Bussiere | Nurse's Aide | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-11-03 |
1770196578 | Caroline Sophie Holman | Psychologist | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-08-31 |
1104437458 | Vivian Vang | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-08-11 |
1841800604 | Wilcania Baez | Social Worker | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-08-06 |
1609484757 | Stephen Soonbeom Kwon | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-07-15 |
1972111029 | Keenan Sandouk | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-07-15 |
1952919011 | Yumna Arif | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-07-15 |
1760009518 | Hassan Saada | Nurse Practitioner | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-06-28 |
1952927675 | Susannah Kondrath | Psychologist | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-06-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
Find all providers in zip 02908 |
Taxonomy Code | 163WA0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063037364 | Phoenix Health Professional Group, LLC | Registered Nurse | 99 Wayland Ave Ste 100, Providence, RI 02906-4314 | 2020-06-11 |
1336689637 | Robert Matuszek | Registered Nurse | 66 Pavilion Ave, Providence, RI 02905-1522 | 2017-03-06 |
1518407816 | Melanie Nelson | Registered Nurse | 66 Pavilion Ave, Providence, RI 02905-1522 | 2017-03-06 |
1184179764 | Debra Figueira | Registered Nurse | 66 Pavilion Ave, Providence, RI 02905-1522 | 2016-08-24 |
1528443256 | Zoila Dasilva | Registered Nurse | 66 Pavilion Ave, Providence, RI 02905-1522 | 2015-07-23 |
1932596319 | Bryan Eliot Minor | Registered Nurse | 200 Butler Drive, Providence, RI 02906 | 2015-04-23 |
1578982963 | Meghan Anne Wood | Registered Nurse | 66 Pavilion Ave, Providence, RI 02905-1522 | 2014-04-14 |
1568880912 | Kevin Sullivan | Registered Nurse | 66 Pavilion Ave, Providence, RI 02905-1522 | 2014-04-02 |
1851654164 | Timothy Allen Smith | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2012-06-21 |
1861635955 | Anne E Avelar | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4799 | 2009-04-20 |
Find all providers in PROVIDENCE |
City | PROVIDENCE |
Zip Code | 02908 |
Please comment or provide details below to improve the information on LINDA ANN JACKSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.