Tennyson, Linda
Tennyson, Linda is an individual health care provider with primary practice located at 2516 Stockton Blvd , Sacramento CA 95817-2208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Tennyson, Linda can be contacted via phone (916) 734-4791.Contact Information
Primary practice address
2516 Stockton Blvd
Sacramento CA 95817-2208
Phone: (916) 734-4791
Fax: (916) 734-4098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 423134 | California |
Profile Details
| NPI number | 1164408795 |
|---|---|
| LBN Legal business name | Tennyson, Linda |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164408795 | NPPES |
| California | Other | 9558 | NP FURNISHING NUMBER |
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