Linda D Jackson in Pueblo West - Nurse Practitioner
Linda D Jackson - NPI 1902906548
Linda D Jackson is a Nurse Practitioner in Pueblo West, Colorado. Linda D Jackson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Linda D Jackson is 1902906548. The last update date is 2013-12-06.
Linda D Jackson's current location address is 694 S Calaveras Dr, Pueblo West, Colorado. You can contact this provider via phone number 7195640450 and fax number 7195641659. The mailing address for Linda D Jackson is 694 S Calaveras Dr, Pueblo West, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Linda D Jackson |
|---|---|
| Address | 694 S Calaveras Dr, Pueblo West, Colorado |
| Phone Number | 7195640450 |
| Fax Number | 7195641659 |
| Sole Proprietor | N |
| Credentials | RN,MSN,NP- |
NPI Number Detail
| NPI Number | 1902906548 |
|---|---|
| Provider Enumeration Date | 2006-09-24 |
| Last Updated Date | 2013-12-06 |
Provider Mailing Address Detail
| Address | 694 S Calaveras Dr |
|---|---|
| City | Pueblo West |
| State | Colorado (CO) |
| Post Code | 810071942 |
| Phone Number | 7195640450 |
| Fax Number | 7195641659 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | CO76267 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38330750 | CO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Linda D Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Linda D Jackson has been assigned the NPI (National Provider Identifier) 1902906548. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Linda D Jackson's physical address?
The Linda D Jackson is physically located at 694 S Calaveras Dr, in the city of Pueblo West, CO, with the postal code 810071942.
What is Linda D Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Linda D Jackson is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
When was the Linda D Jackson's 1902906548 issued?
The Linda D Jackson's 1902906548 was issued on 2006-09-24.
When was the information related to Linda D Jackson most recently updated or refreshed?
The details pertaining to the Linda D Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-12-06.