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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAURA JACKSON, CRNP

Active Sole Proprietor

LAURA JACKSON, CRNP is a Nurse Practitioner healthcare provider located in CLINTON, Maryland. NPI 1629658570 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · CLINTON, MD

Registration Details

NPI Number
1629658570
Provider Type
Individual
Gender
Female
NPI Issued
Apr 13, 2021 (5.343563073351 yrs)
Last Updated
Apr 13, 2021
Licenses
0024181249 (VA)
R205686 (MD)
0024181249 (VA)
R205686 (MD)
0024181249 (VA)
Sole Proprietor
Yes

Practice Information

Address
7700 OLD BRANCH AVE STE B201
CLINTON, MD, 207351605
Browse MD providers · Browse ZIP 20735
Phone
3012897722
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in CLINTON, MD

Name Credential NPI
MRS. FLORENCE CHINWE UKENYE CRNP (NURSE PRACTITI 1255722187
MISS CHARLENE MICALE SOMARU CRNP-FAMILY 1801328679
KUDI S NJEMBU 1720693732
FAUSAT F OLAYIWOLA FNP-BC 1831857218
SHAKIA AMANI NICHOLSON NP 1497413587
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.