LAURA JACKSON, CRNP
Nurse Practitioner
Active
Individual
NPI: 1629658570
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | R205686 (MD) |
| Nurse Practitioner - Adult Health | 363LA2200X | No | 0024181249 (VA) |
| Nurse Practitioner - Gerontology | 363LG0600X | No | 0024181249 (VA) |
Frequently Asked Questions
NPI 1629658570 is the National Provider Identifier for LAURA JACKSON, CRNP, a Nurse Practitioner provider located in Clinton, MD. This NPI was enumerated on April 13, 2021.
LAURA JACKSON, CRNP practices at 7700 OLD BRANCH AVE STE B201, Clinton, MD 20735.
Quick Facts
- NPI
- 1629658570
- Type
- Individual
- Enumerated
- Apr 13, 2021
- Last Updated
- Apr 13, 2021
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