Individual
MRS. A. GAIL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SLP
Contact information
Practice address
810 W MARKHAM ST, LITTLE ROCK, AR 72201-1306
(501) 447-1000
Mailing address
8 ARNOLD PALMER CV, LITTLE ROCK, LITTLE ROCK, AR 72210-9102
(501) 749-9027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
905296897
ARKANSAS DRIVERS LICENSE
AR
Enumeration date
10/07/2008
Last updated
10/07/2008
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