Individual
CRYSTAL GAIL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
216 W MAIN ST, STEELE, MO 63877-1436
(573) 695-2181
Mailing address
PO BOX 331, RECTOR, AR 72461-0331
(870) 634-6304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2025048837
MO
363LF0000X
Family Nurse Practitioner
Primary
235288
AR
Other
Enumeration date
11/13/2025
Last updated
12/16/2025
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