NPI 1396466843

Jaclyn McCardell

Practitioner Driver Jacksonville, AR

Practice location

Address: 601 S 1st St, Jacksonville, AR 72076-4383
Phone: (501) 647-2321
Mailing address: 14 Dellwood Dr, Little Rock, AR 72209-1612

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 933104234 (AR)

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Registry record

NPI: 1396466843
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Sep 2022
Record last updated: 2 Sep 2022

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.