Individual
MISS DEBORAH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
2710 COLLEGE AVE, CONWAY, AR 72034-6141
(501) 329-1800
Mailing address
2710 COLLEGE AVE, CONWAY, AR 72034-6141
(501) 329-1800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01545 ANP
AR
Other
Enumeration date
09/17/2009
Last updated
02/05/2015
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