Individual
LAURA F JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-BC
Contact information
Practice address
40 SPRUCE ST, LEOMINSTER, MA 01453-3361
(978) 840-9352
Mailing address
40 SPRUCE ST, LEOMINSTER, MA 01453-3361
(978) 840-9352
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN283764
MA
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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