LAURAINE M JACKSON

BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC

Dr LAURAINE M JACKSON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2012.

Contact

BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC

4720 E GREENWAY RD
PHOENIX
AZ
850324355

Tel: 6024396000

LAURAINE M JACKSON Information

Npi 1336483379
Pac Id 6406000942
Professional Enrollment Id I20130208000137
Last Name JACKSON
First Name LAURAINE
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
Group Practice Pac Id 6406020155
Number Of Group Practice Members 146
Line 1 Street Address 4720 E GREENWAY RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PHOENIX
State AZ
Zip Code 850324355
Phone Number 6024396000
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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