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Linda Ann Jackson, R.N.

Registered Nurse, Addiction (Substance Use Disorder) in Providence, RI. Individual provider (NPI-1).

NPI number1235458100
StatusActive
Last updated in NPPESMay 18, 2010

Details

NPI
1235458100
Entity type
Individual (NPI-1)
Name
Linda Ann Jackson
Credential
R.N.
Sex
Female
Sole proprietor
No
Enumeration date
May 18, 2010
Last updated
May 18, 2010

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)RN34586RIYes
163WM0705X Registered Nurse, Medical-SurgicalRN214244MA

Practice location

830 Chalkstone Ave
Providence, RI 02908-4734

Phone 401-273-7100

Mailing address

60 Linden Ave
Fairhaven, MA 02719-3257

Phone 508-997-8431

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Addiction (Substance Use Disorder) Registered Nurse providers in Providence, RI

All 19 Addiction (Substance Use Disorder) Registered Nurse providers in Providence · All 11,044 providers in Providence

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