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Laura Lynn Jackson, PA-C
Medical Physician Assistant in Fayetteville, Arkansas
NPI 1770817421

Laura Lynn Jackson is a Medical Physician Assistant based in Fayetteville, AR and is specialized in Medical. Laura Lynn Jackson practices in Fayetteville, AR and has the professional credentials of PA-C. The NPI Number for Laura Lynn Jackson is 1770817421 and holds a License No. (Arkansas).

The current practice location address for Laura Lynn Jackson is 2630 E Citizens Dr Ste 3, Fayetteville, AR and can be reached out via phone at 479-527-9966 and via fax at 479-527-9677.

Location: 2630 E Citizens Dr Ste 3, Fayetteville, AR, 72703-4797
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Provider Profile Details
NPI Number
1770817421
Provider Name
Laura Lynn Jackson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2630 E Citizens Dr Ste 3, Fayetteville, AR, 72703-4797
Phone Number
479-527-9966
Fax Number
479-527-9677
Provider Enumeration Date
09/29/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200616270A 05 OK
190941795 05 AR
institution
Provider Business Practice Location Address Details
Address
2630 E Citizens Dr Ste 3
City
State
Zip
72703-4797
Phone Number
479-527-9966
Fax Number
479-527-9677
person
Provider Business Mailing Address Details
Address
2630 E Citizens Dr Ste 3
City
State
Zip
72703-4797
Phone Number
479-527-9966
Fax Number
479-527-9677
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
(Arkansas)
Definition
Definition to come...
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