Individual provider · Type 1 NPI

Linda Ann Jackson, R.N.

Addiction (Substance Use Disorder) Registered Nurse · Providence, RI

NPI number 1235458100 Active

Practice location

830 Chalkstone Ave
Providence, RI 02908-4734

Mailing address

60 Linden Ave
Fairhaven, MA 02719-3257

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400XRN34586 (RI)
Medical-Surgical Registered Nurse 163WM0705XRN214244 (MA)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1235458100

Linda Ann Jackson, R.N.'s National Provider Identifier is 1235458100, issued on May 18, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Providence, RI. The record was last updated on May 18, 2010.