Individual
MYOSHI BERNADETTE JACKSON-AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4301 W MARKHAM ST # 508, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 686-8543
Mailing address
4301 W MARKHAM ST # 508, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 686-8543
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A03669
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191622758
—
AR
Enumeration date
04/16/2012
Last updated
06/21/2012
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