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JASON COLE JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
934 N GASKILL ST, HUNTSVILLE, AR 72740-8903
(479) 738-5500
Mailing address
934 N GASKILL ST, HUNTSVILLE, AR 72740-8903

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
227738
AR

Other

Enumeration date
02/23/2024
Last updated
04/10/2024
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