Jackson, Lauraine M

Jackson, Lauraine M is an sole proprietor health care provider with primary practice located at 3212 N Windsong Dr Suite 200, Prescott Valley AZ 86314-2255. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Lauraine M can be contacted via phone (928) 583-1000.

Contact Information

Primary practice address
3212 N Windsong Dr Suite 200 Prescott Valley AZ 86314-2255
Phone: (928) 583-1000
Fax: (866) 751-4157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN098038 Arizona

Profile Details

NPI number 1336483379
LBN Legal business name Jackson, Lauraine M
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2012
Last updated Jun 7th, 2017 - about 8 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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