Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAURA LYNN JACKSON, PA-C
ActiveMedical Physician Assistant · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1770817421
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 29, 2009 (16.561418872876 yrs)
- Last Updated
- Jan 21, 2021
Practice Information
- Address
-
2630 E CITIZENS DR STE 3FAYETTEVILLE, AR, 727034797Browse AR providers · Browse ZIP 72703
- Phone
- 4795279966
- Fax
- 4795279677
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in FAYETTEVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| MR. JON SCOTT KELLER | PA-C | 1538181078 |
| MS. JANICE RUTH SMITH | PA-C | 1528077021 |
| MR. KENT DOUGLAS ENDERLE | PA-C | 1922116946 |
| MS. ANNA MARIE WHITE | PHYSICIAN ASSISTANT | 1083719181 |
| MRS. LISA ALDRIN ROJESKI | PA-C | 1366524092 |
| BENJAMIN P SEXTON | PA | 1982905444 |
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.