Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Laura Ashlyn Broome Jackson, PHARMD

Individual provider Pharmacist · NPI 1639699465

Dr. Laura Ashlyn Broome Jackson, PHARMD is a Pharmacist in Portsmouth, Virginia. Licensed in Connecticut, North Carolina and Tennessee. Registered with an NPI since 2017.

Licensed in
CT, NC, TN
In the registry since
2017
Specialties on file
3
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone: (704) 996-3058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 21072 (NC)
Pharmacist Taxonomy 183500000X · Licence 36149 (TN)
Pharmacist Taxonomy 183500000X · Licence 0013225 (CT)

Record details

NPI number1639699465
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedJune 22, 2017
Last updated in NPPESOctober 12, 2017

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