# DR. JIMMY DAVID ACKLIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356345052
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C-6363 | AR | Yes |

## Other

- **Enumeration date:** 06/09/2005
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 05508082 | — | MS |
| 01 | — | 077391301 | MEDICAID | TX |
| 01 | — | 080072068 | RAILROAD MEDICARE | AR |
| 05 | — | 100071990A | — | OK |
| 01 | — | 100267820A | MEDICAID | KS |
| 05 | — | 110763001 | — | AR |
| 01 | — | 13803000000 | QUALCHOICE | AR |
| 05 | — | 1632163 | — | LA |
| 01 | — | 1899432 | UNITED HEALTHCARE | AR |
| 01 | — | 4627033 | AETNA | — |
| 01 | — | 50026 | BLUE CROSS/BLUE SHIELD | AR |
| 01 | — | 6019495001 | CIGNA | — |
| 01 | — | 913056000 | MEDICAID | FL |