Patricia L Jackson


Address: 1252 N 22nd St, Unit A, Laramie, WY 82072-5306

Patricia L Jackson (NPI# 1073525150, PAC ID# 0749522902) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1073525150
PAC ID by PECOS 0749522902
Professional Enrollment ID I20190508002773
Full Name Patricia L Jackson
Address 1252 N 22nd St
Unit A
Laramie
WY 82072-5306
Gender F
Graduation Year 2011
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1252 N 22nd St, Unit A, Laramie, WY 82072-5306

Organization Information

Office Location

Street Address 1252 N 22ND ST
UNIT A
City LARAMIE
State WY
Zip 82072-5306

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Travis D Klingler Obstetrics/gynecology Laramie Physicians for Women P.C. 2710 Harney St, Suite 100, Laramie, WY 82072-0001
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Competitor

Search similar physicians

City LARAMIE
Zip Code 82072
Specialty NURSE PRACTITIONER
City + Specialty LARAMIE + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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