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

Laura Lynn Jackson, PA-C

Individual provider Medical Physician Assistant · NPI 1770817421

Laura Lynn Jackson, PA-C is a Physician Assistant in Fayetteville, Arkansas. Qualified in 2009, 17 years ago. Practices with Mercy Northwest Arkansas Ambulatory Services, LLC, a 50-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
17
Licensed in
AR
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2630 E Citizens Dr Ste 3
Fayetteville, AR 72703-4797
Phone: (479) 527-9966
Fax: (479) 527-9677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (AR)

Record details

NPI number1770817421
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 29, 2009
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Mercy Northwest Arkansas Ambulatory Services, Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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