Organization
KIDSPOT JACKSON COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY TUCKER (OWNER)
(870) 930-5832
Entity
Organization
Contact information
Practice address
6309 HIGHWAY 367 N, TUCKERMAN, AR 72473-9389
(870) 495-3124
(870) 495-3029
Mailing address
6309 HIGHWAY 367 N, TUCKERMAN, AR 72473-9389
(870) 495-3124
(870) 495-3029
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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