MRS. Laurena S Jackson, PHYSICIAN ASSISTANT

NPI #1487801775 in Rocky Mount, North Carolina

Provider Information

NPI Number
1487801775
Entity Type
Individual
Name
MRS. Laurena S Jackson, PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PHYSICIAN ASSISTANT
Enumeration Date
Aug 19, 2008
Last Updated
Aug 19, 2008

Practice Location

Address
300 FOUNTAIN ROAD
ZIP Code
27802
Phone
(252) 442-9712

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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