Individual provider · Type 1 NPI

Laurena S. Jackson, PHYSICIAN ASSISTANT

Medical Physician Assistant · Rocky Mount, NC

NPI number 1487801775 Active

Practice location

300 Fountain Road
Rocky Mount, NC 27802

Call (252) 442-9712 Map

Fax (252) 442-1413

Mailing address

1713 Sagamore Ct
Raleigh, NC 27604-4743

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X101493 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1487801775

Laurena S. Jackson, PHYSICIAN ASSISTANT's National Provider Identifier is 1487801775, issued on Aug 19, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rocky Mount, NC. The record was last updated on Aug 19, 2008.