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Individual Provider

LYNDSEY ACKERMAN, NP

NPI 1619630464 Active Nurse Practitioner, Pediatrics
Quick Facts
NPI Number
1619630464
Type
Individual (NPI-1)
Credential
NP
Status
Active
Enumeration Date
2021-10-19
Last Updated (NPPES)
2024-05-16

Primary Specialty / Taxonomy

TaxonomyNurse Practitioner, Pediatrics
Taxonomy Code363LP0200X
License95018883 CA

Practice Address

2315 STOCKTON BLVD
SACRAMENTO, CA 958172201

Phone: 800-282-3284

Mailing Address

612 HIBISCUS CT
BRENTWOOD, CA 945135567

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.

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