Individual
MS. LANELLE JACKSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-6844
(501) 257-5437
Mailing address
115 HOLIDAY RD, SOLGOHACHIA, AR 72156-8802
(501) 257-6844
(501) 257-5437
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AO1239ANP
AR
Other
Enumeration date
10/05/2005
Last updated
07/08/2007
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