LINDA ANN JACKSON


Address: 830 Chalkstone Ave, Providence, RI 02908-4734
Phone: 4012737100

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).

Provider Overview

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

Taxonomy

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

Other Providers LINDA JACKSON

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1558741512 Linda Jackson Community Health Worker 5070 Coleridge Dr, Fairfax, VA 22032-2416 2015-06-04
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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

Office Location

Street Address 830 CHALKSTONE AVE
City PROVIDENCE
State RI
Zip Code 02908-4734

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WA0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City PROVIDENCE
Zip Code 02908

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Dataset Information

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.

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