Individual
JOANNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 S CHANEY AVE, BRINKLEY, AR 72021
(501) 626-3777
(870) 972-4911
Mailing address
412 S CHANEY AVE, BRINKLEY, AR 72021
(501) 626-3777
(870) 972-4911
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
AR
3747P1801X
Personal Care Attendant
—
AR
Other
Enumeration date
08/08/2007
Last updated
01/06/2020
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