Individual
BROOKLYN ELIZABETH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
549 REFLECTIONS DR, MARSHALL, AR 72650-8981
(870) 490-0633
Mailing address
549 REFLECTIONS DR, MARSHALL, AR 72650-8981
(870) 490-0633
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
217354
AR
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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