Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laura Elaine Jackson, MDPHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679385694

Laura Elaine Jackson, MDPHD is a Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 672-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1679385694
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedJanuary 25, 2025
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026

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