Individual
MRS. CHRISTIE LYNN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9709 WILD MOUNTAIN DR, SHERWOOD, AR 72120-4366
(501) 690-0818
Mailing address
PO BOX 55270, LITTLE ROCK, AR 72215-5270
(501) 604-4170
(501) 604-3223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1998
AR
225X00000X
Occupational Therapist
Primary
OTR1998
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157430721
—
AR
Enumeration date
05/01/2006
Last updated
05/23/2025
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