Individual
QUINCI JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 MEDICAL PLZ STE 2, MOUNTAIN HOME, AR 72653-2919
(870) 232-5315
Mailing address
4402 WHITE HORN PL, HARRISON, AR 72601-8267
(870) 580-9979
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TEMP215388
AR
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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