NPI 1710320320
Debra a Jackson
Practice location
- Address
- 3450 W 34th Ave, Pine Bluff, AR 71603-5508
- Phone
- (870) 534-6067
- Fax
- (870) 534-7297
- Mailing address
- 1 Childrens Way Slot 512-39, Little Rock, AR 72202-3500
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1710320320
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Apr 2013
- Record last updated
- 12 Apr 2013
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.