Search › Virginia › 172V00000X
Linda Jackson
NPI 1558741512 · on the registry since 2015 · sole proprietor
Practice
- Address
- 5070 Coleridge Dr
Fairfax, VA 22032 - Phone
- (703) 425-3597
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-06-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia