Individual
MRS. LINDA SWAN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MSN BC-FNP
Contact information
Practice address
6748 W 111TH ST, WORTH, IL 60482-1912
(708) 361-9701
Mailing address
44 GENEVA AVE, BELLWOOD, IL 60104-1101
(708) 547-6931
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209002866
IL
Other
Enumeration date
07/28/2005
Last updated
02/11/2025
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