Individual
JACKSON CHANDLER PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 413-2115
Mailing address
3525 N RODNEY PARHAM RD, LITTLE ROCK, AR 72212-3054
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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