NPI 1073525150

Patricia L Jackson, APRN

Practitioner Nurse Practitioner Laramie, WY

Practice location

Address: 1252 N 22nd St Unit a, Laramie, WY 82072-5306
Phone: (307) 745-5364
Fax: (307) 745-4164

Registered specialties (2)

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 43087 (WY)

Other Nurse Practitioner providers in Wyoming →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 4708 (CT)

Registry record

NPI: 1073525150
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Aug 2006
Record last updated: 4 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.