Provider Demographics
NPI:1730148669
Name:LAUGHMAN, JEAN S (CFNP)
Entity type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:S
Last Name:LAUGHMAN
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:MS
Other - First Name:JEAN
Other - Middle Name:S
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CFNP
Mailing Address - Street 1:31575 WINTERPLACE PKWY
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-1882
Mailing Address - Country:US
Mailing Address - Phone:410-546-0900
Mailing Address - Fax:410-546-4976
Practice Address - Street 1:ATLANTIC COMMUNITY HEALTH CENTER
Practice Address - Street 2:5219 LANKFORD HIGHWAY
Practice Address - City:NEW CHURCH
Practice Address - State:VA
Practice Address - Zip Code:23415
Practice Address - Country:US
Practice Address - Phone:757-824-5676
Practice Address - Fax:757-824-5872
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR044234363LF0000X
VA0024167149363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD119591300Medicaid
211878Medicare Oscar/Certification
S118Medicare PIN