Healthcare Provider Details

I. General information

NPI: 1548183239
Provider Name (Legal Business Name): LINDA JONES LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 LAKE HIGHVIEW LN
BRANDON FL
33510-2142
US

IV. Provider business mailing address

1106 LAKE HIGHVIEW LN
BRANDON FL
33510-2142
US

V. Phone/Fax

Practice location:
  • Phone: 813-919-2417
  • Fax:
Mailing address:
  • Phone: 813-919-2417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN5162078
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: