Individual
MS. LINDA CHINYERE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1809 W REDLANDS BLVD, REDLANDS, CA 92373-8054
(909) 335-3026
(909) 335-3167
Mailing address
200 OCEANGATE STE 100, LONG BEACH, CA 90802-4317
(562) 499-6191
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95006662
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95006662
CA
Other
Enumeration date
05/25/2017
Last updated
02/08/2023
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