MS. LINDA CHINYERE JACKSON NP NPI 1376071092

NPI Information

NPI: 1376071092
Provider Name: MS. LINDA CHINYERE JACKSON, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1809 W REDLANDS BLVD
REDLANDS, CA
ZIP 92373
Phone: (909) 335-3026
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MS. Linda Chinyere Jackson, NP is a psychiatric/mental health nurse practitioner in Redlands, CA with 4 years of experience. MS. Linda Chinyere Jackson, NP NPI is 1376071092. 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:

1809 W REDLANDS BLVD
REDLANDS, CA
ZIP 92373-054
Phone: (909) 335-3026
Fax: (909) 335-3167

The NPI 1376071092 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/25/2017 and was last updated on 2/8/2023.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95006662	CALIFORNIA	Yes
2	363LF0000X	Nurse Practitioner	Family	95006662	CALIFORNIA	No

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: 4/28/2024

NPI Synchronization or Removal

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