Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Linda Sue Jacques

Individual provider Specialist · NPI 1104542125

Linda Sue Jacques is a Specialist in Port Henry, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
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Practice location Address checks out

10 St Patrick Pl
Port Henry, NY 12974-1200
Phone: (518) 546-3355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence $$$$$$$$$ (NY)

Record details

NPI number1104542125
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 12, 2022
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022

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