Linda Olin Jackson, RN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2403 Issued in SC

Practice address

109 Bee St
112-A
Charleston, SC 29401-5703

Phone

(843) 789-7345

Fax

(843) 789-6264

NPI assigned

Sep 6, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013010941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BEE ST",
            "address_2": "112-A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294015789",
            "telephone_number": "843-789-7345",
            "fax_number": "843-789-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BEE ST",
            "address_2": "112-A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294015703",
            "telephone_number": "843-789-7345",
            "fax_number": "843-789-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LINDA",
        "middle_name": "OLIN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "2403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Jackson
• Kailani Jackson, PHARMD
• Kailin Marie Jackson, NP
• Kayla Elizabeth Jackson
• Lanier B Jackson, MD
• Louise G. Jackson, ST.
• Marc Ryan Jackson, MD
• McKenzie Lauren Jackson
• Megan Danielle Jackson
• Sherron Jackson, MD

• Adult Health Nurse Practitioner in Charleston, SC
• Providers in Charleston, SC by specialty
• Adult Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.