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
Fax: (916) 734-4098
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164408795 NPPES
California Other 9558 NP FURNISHING NUMBER

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