Jackson, Laurice

Jackson, Laurice is an individual health care provider with primary practice located at 40 Winter St , Rochester NH 03867-3153. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Jackson, Laurice can be contacted via phone (603) 332-5500.

Contact Information

Primary practice address
40 Winter St Rochester NH 03867-3153
Phone: (603) 332-5500
Fax: (603) 332-0410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 010948-23-03 New Hampshire

Profile Details

NPI number 1942267273
LBN Legal business name Jackson, Laurice
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942267273 NPPES
New Hampshire MEDICAID 00000875

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