Individual provider · Type 1 NPI

Lauryn Jackson, PA-C

Medical Physician Assistant · Gilbert, AZ

NPI number 1811745458 Active

Practice location

6470 S Higley Rd
Gilbert, AZ 85298-4341

Call (480) 809-2409 Map

Mailing address

PO Box 932958
Cleveland, OH 44193-0028

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X10391 (AZ)
Medical Physician Assistant Primary 363AM0700X10391 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1811745458

Lauryn Jackson, PA-C's National Provider Identifier is 1811745458, issued on May 8, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gilbert, AZ. The record was last updated on Jun 25, 2025.