Lauraine M Jackson, FNP-BC
NPI #1336483379 in Prescott Valley, Arizona
Provider Information
- NPI Number
- 1336483379
- Entity Type
- Individual
- Name
- Lauraine M Jackson, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-BC
- Enumeration Date
- Nov 15, 2012
- Last Updated
- Jun 7, 2017
Practice Location
- Address
- 3212 N WINDSONG DR
- Address 2
- SUITE 200
- City
- Prescott Valley
- State
- Arizona
- ZIP Code
- 86314-2255
- Phone
- (928) 583-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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