LAURAINE M JACKSON

PRESCOTT VALLEY, AZ
NPI1336483379
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  RN098038)
Enumeration Date2012-11-15
Last Update Date2017-06-07
Business Address
-- LAURAINE M JACKSON FNP-BC
3212 N WINDSONG DR SUITE 200
PRESCOTT VALLEY, AZ 86314-2255
Phone number: 928-583-1000
Mailing Address
-- LAURAINE M JACKSON FNP-BC
330 SEVEN SPRINGS WAY
BRENTWOOD, TN 37027-5098
Phone number: 615-920-7782
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