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:
Health care specialties
| Specialty | Code | License # | 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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