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Individual

JACKIE ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9601 BAPTIST HEALTH DR, LITTLE ROCK, AR 72205-6321
(501) 202-6000
Mailing address
962 JAMES MADISON DR, BENTON, AR 72019-8734
(501) 804-1113

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R090353
AR

Other

Enumeration date
10/27/2025
Last updated
10/27/2025
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