Individual
MS. LINDA TENNYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 734-4791
(916) 734-4098
Mailing address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 734-4791
(916) 734-4098
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
423134
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9558
NP FURNISHING NUMBER
CA
Enumeration date
12/15/2005
Last updated
03/07/2023
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