| Laura Lynn Jackson, PA-C | |
|
2630 E Citizens Dr Ste 3, Fayetteville, AR 72703-4797 | |
| (479) 527-9966 | |
| (479) 527-9677 |
| Full Name | Laura Lynn Jackson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 2630 E Citizens Dr Ste 3, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770817421 | NPI | - | NPPES |
| 200616270A | Medicaid | OK | |
| 190941795 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Northwest Arkansas Ambulatory Services, Llc | 3779827993 | 43 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Lynn Jackson, PA-C 2630 E Citizens Dr Ste 3, Fayetteville, AR 72703-4797 Ph: (479) 527-9966 | Laura Lynn Jackson, PA-C 2630 E Citizens Dr Ste 3, Fayetteville, AR 72703-4797 Ph: (479) 527-9966 |
Kristin Salmon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 | |
Savannah Hill, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 | |
Charles Earl Wall Jr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 | |
Moorea Leigh Massa, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3336 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-463-3000 | |
Mr. Joseph D Cogan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Dept 116a, Fayetteville, AR 72703 Phone: 479-443-4301 Fax: 479-587-5951 | |
Madalynn Potter, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3336 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-463-3000 | |
Ms. Anna Marie White, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 1100 North College Avenue, Fayetteville, AR 72703 Phone: 479-443-4301 Fax: 479-587-5889 |