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

Laura Jackson, CRNP

Individual provider Nurse Practitioner · NPI 1629658570

Laura Jackson, CRNP is a Nurse Practitioner in Clinton, Maryland. Qualified in 2020, 6 years ago. Practices with Ikon Health, LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
6
Licensed in
MD, VA
In the registry since
2021
Specialties on file
6
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

7700 Old Branch Ave Ste B201
Clinton, MD 20735-1605
Phone: (301) 289-7722
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R205686 (MD)
Nurse Practitioner Taxonomy 363L00000X · Licence 0024181249 (VA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence R205686 (MD)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 0024181249 (VA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence R205686 (MD)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 0024181249 (VA)

Record details

NPI number1629658570
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedApril 13, 2021
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ikon Health, Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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