Individual provider · Type 1 NPI

Linda Sue Jacques

Specialist · Port Henry, NY

NPI number 1104542125 Active

Practice location

10 St Patrick Pl
Port Henry, NY 12974-1200

Call (518) 546-3355 Map

Mailing address

PO Box 194
Port Henry, NY 12974-0194

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X$$$$$$$$$ (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104542125

Linda Sue Jacques's National Provider Identifier is 1104542125, issued on Oct 12, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Henry, NY. The record was last updated on Sep 29, 2026.