LINDA SUE JACQUES NPI 1104542125

NPI Information

  • NPI: 1104542125
  • Provider Name: LINDA SUE JACQUES
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 10 ST PATRICK PL
    PORT HENRY, NY
    ZIP 12974
  • Phone: (518) 546-3355

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NPI Details

Linda Sue Jacques is a specialist in Port Henry, NY. The provider is 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. Linda Sue Jacques NPI is 1104542125. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10 ST PATRICK PL
PORT HENRY, NY
ZIP 12974-200
Phone: (518) 546-3355

The enumeration date for this NPI number is 10/12/2022 and was last updated on 10/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist$$$$$$$$$NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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