Provider Demographics
NPI:1528083979
Name:JONES, LINDA (LPT)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4875 BROADWAY
Mailing Address - Street 2:SUITE #180
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95820-1500
Mailing Address - Country:US
Mailing Address - Phone:916-874-3361
Mailing Address - Fax:
Practice Address - Street 1:4875 BROADWAY
Practice Address - Street 2:SUITE #180
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820-1500
Practice Address - Country:US
Practice Address - Phone:916-874-3361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7806167G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes167G00000XNursing Service ProvidersLicensed Psychiatric Technician