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

Individual provider Physician Assistant · NPI 1811745458

Lauryn Jackson, PA-C is a Physician Assistant in Gilbert, Arizona. Qualified in 2024, 2 years ago. Practices with The Little Clinic of Arizona LLC, a 43-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024
Specialties on file
2
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

6470 S Higley Rd
Gilbert, AZ 85298-4341
Phone: (480) 809-2409
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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 · Licence 10391 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 10391 (AZ)

Record details

NPI number1811745458
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 8, 2024
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025
Mailing addressPo Box 932958, Cleveland, OH 44193-0028

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice The Little Clinic Of Arizona Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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