Individual
LINDA ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
60 LINDEN AVE, FAIRHAVEN, MA 02719-3257
(508) 997-8431
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN34586
RI
163WM0705X
Medical-Surgical Registered Nurse
RN214244
MA
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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