Individual
MRS. DENISHIA NICOLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10681 HIGHWAY 63, PINE BLUFF, AR 71603-8764
(402) 810-4360
Mailing address
10681 HIGHWAY 63, PINE BLUFF, AR 71603-8764
(402) 810-4360
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
050590060716R
AR
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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