Provider Demographics
NPI:1285953463
Name:JAMESON, LINDA SUE (RN)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:SUE
Last Name:JAMESON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 S PINION PINE CIR
Mailing Address - Street 2:
Mailing Address - City:BLAIRSDEN
Mailing Address - State:CA
Mailing Address - Zip Code:96103-9712
Mailing Address - Country:US
Mailing Address - Phone:530-836-0737
Mailing Address - Fax:
Practice Address - Street 1:527 BELL LN
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:CA
Practice Address - Zip Code:95971-9123
Practice Address - Country:US
Practice Address - Phone:530-283-6370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA449188163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult