Jackson, Laurena S
Jackson, Laurena S is an individual health care provider with primary practice located at 300 Fountain Road , Rocky Mount NC 27802. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Jackson, Laurena S can be contacted via phone (252) 442-9712.Contact Information
Primary practice address
300 Fountain Road
Rocky Mount NC 27802
Phone: (252) 442-9712
Fax: (252) 442-1413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 101493 | North Carolina |
Profile Details
| NPI number | 1487801775 |
|---|---|
| LBN Legal business name | Jackson, Laurena S |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2008 |
| Last updated | Aug 19th, 2008 - about 18 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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