Individual
KIMBERLY ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N/A ...NONE
Contact information
Practice address
3215 MARSHALL ST, LITTLE ROCK, AR 72206-1950
(501) 681-6866
Mailing address
3215 MARSHALL ST, LITTLE ROCK, AR 72206-1950
(501) 681-6866
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
00000000000000000000
AR
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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