Individual
MEKEICHA L. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
13800 HARPENDEN CV, NORTH LITTLE ROCK, AR 72117-5334
(501) 944-4584
Mailing address
13800 HARPENDEN CV, NORTH LITTLE ROCK, AR 72117-5334
(501) 944-4584
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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