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MRS. LAURENA S JACKSON PHYSICIAN ASSISTANT
NPI 1487801775
Physician Assistant - Medical in Rocky Mount, NC

Active since August 19, 2008
300 FOUNTAIN ROAD, ROCKY MOUNT, NC 27802(252) 442-9712(252) 442-1413 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Laurena S Jackson Physician Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LAURENA S JACKSON PHYSICIAN ASSISTANT (NPI 1487801775) is an individual medical provider in Rocky Mount, North Carolina, licensed in North Carolina (101493) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1487801775
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. LAURENA S JACKSONCredential: PHYSICIAN ASSISTANT
Location Address300 FOUNTAIN ROADRocky Mount, NC 27802
Mailing Address1713 Sagamore CtRaleigh, NC 27604-4743 · (252) 442-9712 · Fax (252) 442-1413
Phone(252) 442-9712
Fax(252) 442-1413
Sole ProprietorNo
Enumeration DateAugust 19, 2008
✔ NPI 1487801775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 101493
300 FOUNTAIN ROAD, Rocky Mount, NC 27802
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurena Jackson's NPI number?

The NPI number for Laurena Jackson is 1487801775. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Where is Laurena Jackson located?

Laurena Jackson practices at 300 Fountain Road, Rocky Mount, NC 27802. The listed phone number is (252) 442-9712.

What is Laurena Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Laurena Jackson was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.