Individual provider · Type 1 NPI

Laura Elaine Jackson, MD PHD

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1679385694 Active

Practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Call (612) 672-6000 Map

Mailing address

2917 Edgewood Ave S
Minneapolis, MN 55426-3325

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1,386 other providers at this address

Other student in an organized health care education/training program providers in Minneapolis

See all in Minneapolis →

About NPI 1679385694

Laura Elaine Jackson, MD PHD's National Provider Identifier is 1679385694, issued on Jan 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 6, 2026.