Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LINDA JACKSON
Active Sole ProprietorLINDA JACKSON is a Community Health Worker healthcare provider located in FAIRFAX, Virginia. NPI 1558741512 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · FAIRFAX, VA
Registration Details
- NPI Number
- 1558741512
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 4, 2015 (11.225617004042 yrs)
- Last Updated
- Jun 4, 2015
- License
-
2306602621 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5070 COLERIDGE DRFAIRFAX, VA, 220322416Browse VA providers · Browse ZIP 22032
- Phone
- 7034253597
- Primary Specialty
-
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.