Active NPI
Laurice Jackson, ARNP
- Obstetrics & Gynecology Nurse Practitioner
- Rochester, NH
National Provider Identifier
1942267273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 010948-23-03
- Practice address
- 40 Winter St
Rochester, NH 03867-3153 - Phone
- (603) 332-5500
- Fax
- (603) 332-0410
- NPI assigned
- Apr 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 010948-23-03 | NH | Primary |
Addresses
Primary practice location
40 Winter St
Rochester, NH 03867-3153
Mailing address
652F Central Ave
Dover, NH 03820-3414
Phone (603) 749-2346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000875 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avis Goodwin Community Health Center | Past | Accepting new patients | |
| Greater Seacoast Community Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Somersworth, NH
- NPI 1235815309
-
- Community Health Clinic/Center
- North Berwick, ME
- NPI 1780815316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1942267273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652F CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "038203414",
"telephone_number": "603-749-2346",
"fax_number": "603-953-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 WINTER ST",
"city": "ROCHESTER",
"state": "NH",
"postal_code": "038673153",
"telephone_number": "603-332-5500",
"fax_number": "603-332-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "LAURICE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NH",
"license": "010948-23-03",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00000875",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.