Individual
SHAKEYAH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 W MARKHAM ST # 547-05, LITTLE ROCK, AR 72205-7101
(501) 686-6086
(501) 686-5328
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 614-2006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
125410
AR
Other
Enumeration date
02/23/2023
Last updated
04/19/2023
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