Individual
LAURI L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
802 2ND ST SE, CUT BANK, MT 59427-3329
(406) 873-2251
(406) 873-3118
Mailing address
802 2ND ST SE, CUT BANK, MT 59427-3329
(406) 873-2251
(406) 873-3118
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN12705
MT
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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