NPI 1043597867
Kimberly R Jackson
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
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.