Individual
JAMES PRESLEY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 227-8000
(501) 221-5850
Mailing address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 227-8000
(501) 221-5850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R2633
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104704001
—
AR
Enumeration date
06/23/2006
Last updated
09/10/2008
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