Individual provider · Type 1 NPI

Laura Marie Jackson, FNP, CWCN

Family Nurse Practitioner · Portland, OR

NPI number 1386987402 Active

Practice location

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964

Mailing address

PO Box 2276
Longview, WA 98632-8347

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X201250183NP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1386987402

Laura Marie Jackson, FNP, CWCN's National Provider Identifier is 1386987402, issued on Mar 27, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Mar 27, 2013.