Individual
CHRISTA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 LILE CT STE 200, LITTLE ROCK, AR 72205-6240
(501) 224-5500
(501) 224-1166
Mailing address
1 LILE CT STE 200, LITTLE ROCK, AR 72205-6240
(501) 224-5500
(501) 224-1166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004503
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A004503
ARKANSAS STATE BOARD OF NURSING
AR
Enumeration date
09/09/2015
Last updated
09/09/2015
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