Individual
NATALIE KRISTENE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
100 N MAIN ST, HARRISBURG, AR 72432-1930
(870) 578-0387
Mailing address
709 JILL LN, BONO, AR 72416-9691
(870) 219-2231
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
200308
AR
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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