NPI 1043094105

Faith Jackson

Practitioner Developmental Therapist Newport, AR

Practice location

Address: 221 Lindley Ln, Newport, AR 72112-4954
Phone: (870) 523-2124

Registered specialties (2)

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

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Specialist

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1043094105
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2023
Record last updated: 17 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.