Jackson, Patricia L

Jackson, Patricia L is an individual health care provider with primary practice located at 1252 N 22Nd St Unit A , Laramie WY 82072-5306. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jackson, Patricia L can be contacted via phone (307) 745-5364.

Contact Information

Primary practice address
1252 N 22Nd St Unit A Laramie WY 82072-5306
Phone: (307) 745-5364
Fax: (307) 745-4164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 43087 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4708 Connecticut

Profile Details

NPI number 1073525150
LBN Legal business name Jackson, Patricia L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Apr 4th, 2019 - about 7 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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