Individual
LAURA E JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8 PIKES HL, NORWAY, ME 04268-5340
(207) 744-6444
Mailing address
125 BRADBURY HILL RD, MINOT, ME 04258-4250
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP241211
ME
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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