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1336483379
LAURAINE M JACKSON
PRESCOTT VALLEY, AZ
NPI
1336483379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ RN098038)
Enumeration Date
2012-11-15
Last Update Date
2017-06-07
Business Address
-- LAURAINE M JACKSON FNP-BC
3212 N WINDSONG DR SUITE 200
PRESCOTT VALLEY, AZ 86314-2255
Phone number: 928-583-1000
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Mailing Address
-- LAURAINE M JACKSON FNP-BC
330 SEVEN SPRINGS WAY
BRENTWOOD, TN 37027-5098
Phone number: 615-920-7782
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