Individual
LAURA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1441 WOODSTEAD CT STE 100, THE WOODLANDS, TX 77380-1449
(281) 363-0058
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP116071
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185608001
—
TX
01
—
87941U
BLUE CROSS PROVIDER ID
TX
01
—
P00441171
RAILROAD MEDICARE
TX
Enumeration date
06/19/2007
Last updated
03/03/2025
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