Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lauraine M Jackson, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1336483379

Lauraine M Jackson, FNP-BC is a Nurse Practitioner in Prescott Valley, Arizona. Qualified in 2012, 14 years ago. Practices with Craig M Rundbaken DO PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
14
Licensed in
AZ
In the registry since
2012
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

3212 N Windsong Dr Ste 200
Prescott Valley, AZ 86314-2255
Phone: (928) 583-1000
Fax: (866) 751-4157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN098038 (AZ)

Record details

NPI number1336483379
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedNovember 15, 2012
Last updated in NPPESJune 7, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Craig M Rundbaken Do Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Prescott Valley