Individual
REBECCA L JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
101 FIG LN, BISMARCK, AR 71929-7442
(870) 484-3364
Mailing address
101 FIG LN, BISMARCK, AR 71929-7442
(870) 484-3364
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
223619
AR
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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