Donnie Jackson, RN

NPI #1013376193 in Forrest City, Arkansas

Provider Information

NPI Number: 1013376193
Entity Type: Individual
Name: Donnie Jackson, RN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: RN
Enumeration Date: Feb 17, 2016
Last Updated: Feb 17, 2016

Practice Location

Address: 1825 E BROADWAY ST
City: Forrest City
State: Arkansas
ZIP Code: 72335-3409
Phone: (870) 630-2328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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