LAURICE JACKSON (NPI# 1942267273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942267273 |
| Entity Type | Individual |
| Full Name | LAURICE JACKSON |
| Credential | ARNP |
| Practice Address |
40 Winter St Rochester NH 03867-3153 |
| Mailing Address |
652f Central Ave Dover NH 03820-3414 |
| Practice Telephone | 6033325500 |
| Practice Fax Number | 6033320410 |
| Mailing Telephone | 6037492346 |
| Mailing Fax Number | 6039530066 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
010948-23-03 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 00000875 | 05 |
| Street Address |
40 WINTER ST |
| City | ROCHESTER |
| State | NH |
| Zip Code | 03867-3153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027375 | Tehani Monrazel | Dentist | 40 Winter St, Rochester, NH 03867-3153 | 2020-06-11 |
| 1316136427 | Corey M Sylvain | Physical Therapist | 40 Winter St, 307, Rochester, NH 03867-3153 | 2007-10-15 |
| 1952429870 | Raymond D. Laurion | Dentist | 40 Winter St, Suite 201, Rochester, NH 03867-3153 | 2007-03-27 |
| 1558489450 | Renee Laurion Goodspeed | Dentist | 40 Winter St, Suite 201, Rochester, NH 03867-3153 | 2007-03-27 |
| 1831217744 | Puneet Kochhar | Dentist | 40 Winter St, Suite 201, Rochester, NH 03867-3153 | 2007-03-27 |
| 1578681417 | Alliance for Dental Care, Pllc | Dentist | 40 Winter St, Suite 201, Rochester, NH 03867-3153 | 2007-03-27 |
| 1891851671 | Patrick J O'donnell | Physical Therapist | 40 Winter St, Suite 307, Rochester, NH 03867-3153 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402862 | Allergy and Asthma Center | Allergy & Immunology | 161 Rochester Hill Road, Rochester, NH 03867 | 2020-09-16 |
| 1245874908 | Alicia Anne Magoon | Occupational Therapist | 105 Eastern Avenue, Rochester, NH 03867 | 2019-11-05 |
| 1124531801 | Amelia K Bailey | Behavioral Analyst | 36 Industrial Way Ste 10, Rochester, NH 03867 | 2017-11-16 |
| 1285183988 | Till Inc | Community/Behavioral Health | 20 Walnut Street Apt 2, Woburn, MA 03867 | 2016-09-23 |
| 1174070080 | Hope On Haven Hill, Inc | Substance Abuse Rehabilitation Facility | 326 Rochester Hill Rd, Rochester, NH 03867 | 2016-09-08 |
| 1710359468 | Silke Psula | Social Worker | 25 Old Dover Rd, Community Partners, Rochester, NH 03867 | 2015-10-21 |
| 1396129672 | Skyhaven Surgery Center LLC | Clinic/Center | 13 Healthcare Drive, Rochester, NH 03867 | 2015-07-16 |
| 1659788214 | Elizabeth Mary Solof | Case Management | 1 Old Dover Road, Suite 7, Rochester, NH 03867 | 2014-07-16 |
| 1447676754 | Granite State Express Care LLC | Clinic/Center | 120 Washington Street, Rochester, NH 03867 | 2014-03-11 |
| 1265630412 | Deborah Jo Emery | Counselor | One Old Dover Road, Suite #6, Rochester, NH 03867 | 2007-07-10 |
| Find all providers in zip 03867 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336396886 | Lucille Anne Coady | Nurse Practitioner | 909 Culver Rd, Rochester, NY 14609-7141 | 2008-08-26 |
| 1316090442 | Kelly Battoglia | Nurse Practitioner | 2824 Ridge Rd W, Rochester, NY 14626-1639 | 2007-01-20 |
| 1861568008 | Sylvia Farnand | Nurse Practitioner | 990 South Ave, Suite 104, Rochester, NY 14620 | 2006-11-28 |
| 1306918016 | Bernadette Strada | Nurse Practitioner | 990 South Ave, Rochester, NY 14620-2740 | 2006-11-15 |
| 1497838502 | Beverly Shaheen | Nurse Practitioner | 3101 Ridge Rd W, Building D, Rochester, NY 14626-3249 | 2006-10-23 |
| 1336222447 | Angela Ehlinger | Nurse Practitioner | 114 University Ave, Rochester, NY 14605-2929 | 2006-10-23 |
| 1104908391 | Corinne D Martin | Nurse Practitioner | 1555 Long Pond Rd, Dept. of Obstetrics and Gynecology, Rochester, NY 14626-4122 | 2006-10-19 |
| 1952336844 | Therese A Caffery | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2006-07-11 |
| 1144271214 | Katherine K Polino | Nurse Practitioner | 905 Culver Rd, Highland Community Ob Gyn, Rochester, NY 14609 | 2006-05-13 |
| 1295784742 | Sheryl L Silberman | Nurse Practitioner | 125 Lattimore Rd, Suite 200, Rochester, NY 14620-4159 | 2006-05-10 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.