NPI 1558780478

Teresa Jackson, CLSASCP

Practitioner Medical Technologist Pine Bluff, AR

Practice location

Address: 4010 S Mulberry St, Pine Bluff, AR 71603-7000
Phone: (870) 541-6012
Fax: (870) 541-8696

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X

Other Specialist/Technologist, Pathology providers in Arkansas →

Registry record

NPI: 1558780478
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Apr 2014
Record last updated: 8 Apr 2014

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.