Jackson, Laura
Jackson, Laura is an sole proprietor health care provider with primary practice located at 7700 Old Branch Ave Ste B201 , Clinton MD 20735-1605. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jackson, Laura can be contacted via phone (301) 289-7722.Contact Information
Primary practice address
7700 Old Branch Ave Ste B201
Clinton MD 20735-1605
Phone: (301) 289-7722
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 0024181249 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | R205686 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 0024181249 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | R205686 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 0024181249 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R205686 | Maryland |
Profile Details
| NPI number | 1629658570 |
|---|---|
| LBN Legal business name | Jackson, Laura |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2021 |
| Last updated | Apr 13th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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