Whalio Doctors

NPI 1043597867

Kimberly R Jackson

Practitioner Developmental Therapist Warren, AR

Practice location

Address
206 Bragg St, Warren, AR 71671-2500
Phone
(870) 226-7844
Fax
(870) 226-2798
Mailing address
1 Childrens Way Slot 512-39, Little Rock, AR 72202-3500

Registered specialties

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

Registry record

NPI
1043597867
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Nov 2011
Record last updated
8 Nov 2011

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.