Provider Demographics
NPI:1912516253
Name:JACKSON-TITO, LINDSAY CAITLIN (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:CAITLIN
Last Name:JACKSON-TITO
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7125 N CHESTNUT AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0358
Mailing Address - Country:US
Mailing Address - Phone:559-325-3070
Mailing Address - Fax:
Practice Address - Street 1:7125 N CHESTNUT AVE STE 106
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-0358
Practice Address - Country:US
Practice Address - Phone:559-325-3070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-22
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95014977363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily