Keona Jackson
NPI #1053198036 in Lake Village, Arkansas
Provider Information
- NPI Number
- 1053198036
- Entity Type
- Individual
- Name
- Keona Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Sep 12, 2023
- Last Updated
- Sep 12, 2023
Practice Location
- Address
- 1127 SECOND ST
- City
- Lake Village
- State
- Arkansas
- ZIP Code
- 71653-1541
- Phone
- (870) 265-3808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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