Lookup NPI Numbers from the NPI Registry
NPI Profile for LAURENA S JACKSON in ROCKY MOUNT, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI # | 1487801775 |
|
| Status | Active | |
| Credentials | PHYSICIAN ASSISTANT | |
| Entity | Individual | |
| Enumeration date | 08/19/2008 | |
| Last updated | 08/19/2008 - About 18 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LAURENA S JACKSON
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LAURENA S JACKSON, PHYSICIAN ASSISTANT