Individual
MS. LINDA OLIN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
109 BEE ST, 112-A, CHARLESTON, SC 29401-5703
(843) 789-7345
(843) 789-6264
Mailing address
109 BEE ST, 112-A, CHARLESTON, SC 29401-5789
(843) 789-7345
(843) 789-6264
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2403
SC
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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