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Individual

LINDA MARIE COLLIFLOWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RNC,NP

Contact information

Practice address
12140 NEW YORK RANCH RD, JACKSON, CA 95642-9407
(209) 257-2400
Mailing address
817 COURT ST, #8, JACKSON, CA 95642-2156
(209) 223-1031

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1622
CA
363LW0102X
Women's Health Nurse Practitioner
1622
CA

Other

Enumeration date
01/27/2009
Last updated
08/15/2025
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