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Individual

CAITLIN RACHELLE JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN CPNP-PC

Contact information

Practice address
1 CHILDRENS WAY # 836, LITTLE ROCK, AR 72202-3500
(501) 364-1225
(501) 364-3110
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
219041
AR

Other

Enumeration date
04/21/2022
Last updated
01/06/2023
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