Healthcare Provider Details

I. General information

NPI: 1417320862
Provider Name (Legal Business Name): JIMIL-ANNE LINTON R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2015
Last Update Date: 11/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 CAMINO DEL REMEDIO
SANTA BARBARA CA
93110-1332
US

IV. Provider business mailing address

401 W PINE AVE APT 165
LOMPOC CA
93436-4060
US

V. Phone/Fax

Practice location:
  • Phone: 805-364-1180
  • Fax:
Mailing address:
  • Phone: 619-929-5794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95064210
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: