NPI 1104506799
Javits L Jackson
Practice location
- Address
- 8 White Tail Cv, Pine Bluff, AR 71603-8149
- Phone
- (870) 718-1186
Registered specialties
Taxi
Primary
Registry record
- NPI
- 1104506799
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Jul 2023
- Record last updated
- 19 Jul 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.