LINDA MARIE COLLIFLOWER (NPI# 1265670384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265670384 |
| Entity Type | Individual |
| Full Name | LINDA MARIE COLLIFLOWER |
| Credential | RNC,NP |
| Practice Address |
817 Court St #8 Jackson CA 95642-2156 |
| Practice Telephone | 2092231031 |
| Mailing Telephone | 2092231031 |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
1622 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
817 COURT ST #8 |
| City | JACKSON |
| State | CA |
| Zip Code | 95642-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083609101 | Duane Phillip Gibson | Optometrist | 817 Court St, Suite 10, Jackson, CA 95642-2156 | 2005-09-14 |
| 1316331218 | Bhumika Sherdiwala | Anesthesiology | 817 Court St, Jackson, CA 95642-2156 | 2015-03-27 |
| 1669725008 | Michael James Merry | Optometrist | 817 Court St, 10, Jackson, CA 95642-2156 | 2012-10-23 |
| 1992094874 | Karen Pantazis Md | Pain Medicine | 817 Court St, Suite 14, Jackson, CA 95642-2156 | 2011-03-31 |
| 1841448297 | David R Bruce Do Inc | Dermatology | 817 Court St, Suite #11, Jackson, CA 95642-2156 | 2008-08-28 |
| 1699854158 | Sierra Eyecare Associates | Optometrist | 817 Court St, Suite 10, Jackson, CA 95642-2156 | 2006-11-03 |
| 1770661423 | Karen Louise Pantazis | Anesthesiology | 817 Court St, Suite 14, Jackson, CA 95642-2156 | 2006-11-01 |
| 1164466041 | David Randall Bruce | Dermatology | 817 Court St, Jackson, CA 95642-2156 | 2006-06-15 |
| 1841261187 | Jerry L Jolley | Optometrist | 817 Court St, Suite 10, Jackson, CA 95642-2156 | 2006-01-26 |
| 1417927161 | Steven J Fronk | Optometrist | 817 Court St, Suite 10, Jackson, CA 95642-2156 | 2006-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
| 1053844902 | Kathryn Erosa | Pharmacist | 515 Highway 49 South, Jackson, CA 95642 | 2017-04-07 |
| 1356882039 | Thomas Alan Bowhay | Clinic/Center | 820 Highway 88, Jackson, CA 95642 | 2017-03-15 |
| 1710130141 | Roland E Womack | Dentist | 511 Sutter St, Jackson, CA 95642 | 2008-10-29 |
| 1508929522 | Stanley M Ordonez | Dentist | 645 New York Ranch Rd, Jackson, CA 95642 | 2006-12-19 |
| 1942374996 | Thomas W Zeiler | Chiropractor | 665 New York Ranch Rd Suite 2, Jackson, CA 95642 | 2006-11-20 |
| 1023188968 | Cordelia Rose Slayter | Physical Therapist | 711 S State Hwy 49, Jackson, CA 95642 | 2006-11-08 |
| 1285744946 | Raleys | Pharmacy | 781 South Highway 49, Jackson, CA 95642 | 2006-08-30 |
| 1316996747 | Robert R. Bussell X | Physical Therapist | 813 Court Street, Ste 2, Jackon, CA 95642 | 2006-05-10 |
| 1861953135 | Chelsea Yule Solutions | Clinic/Center | 230 N Main St, Jackson, CA 95642 | 2019-03-28 |
| Find all providers in zip 95642 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225675952 | Victoria Delores Brown | Nurse Practitioner | 5155 Keele St Apt 22d, Jackson, MS 39206-4331 | 2019-12-02 |
| 1609255520 | Neta J Roby | Nurse Practitioner | Hwy 36, Georgia Diagnostic Classification Prison, Jackson, GA 30233 | 2015-05-26 |
| 1346652377 | Rachel Nichole Ford | Nurse Practitioner | 5963 I 55 N, Jackson, MS 39213-9722 | 2014-05-26 |
| 1760601967 | Kimberly Lynne Schlagel | Nurse Practitioner | 1200 N State St Ste 430, Jackson, MS 39202-2027 | 2007-04-25 |
| 1134117963 | Gloria Lee Kent | Nurse Practitioner | 100 Mission Boulevard, Suite 2800, Jackson, CA 95642-2147 | 2005-10-06 |
| 1265966634 | Tayler M Johnston | Nurse Practitioner | 72 Physicians Dr, Jackson, TN 38305 | 2017-04-12 |
| 1891236725 | Christina Purviance | Nurse Practitioner | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 2017-03-11 |
| 1407273071 | Lisa Rudd | Nurse Practitioner | 3305 Spring Arbor Rd, Jackson, MI 49203-3794 | 2014-03-21 |
| 1447689799 | Jessica L Rider | Nurse Practitioner | 244 Coatsland Dr, Jackson, TN 38301-3948 | 2013-11-07 |
| 1154669786 | Lakendria Zollicoffer | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2013-01-16 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on LINDA MARIE COLLIFLOWER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.