Audra M Jackson, MD
NPI #1093815268 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1093815268
- Entity Type
- Individual
- Name
- Audra M Jackson, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Sep 25, 2006
- Last Updated
- Aug 23, 2010
Practice Location
- Address
- 3808 SOUTH GARY
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72903-5450
- Phone
- (479) 709-7120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Student in an Organized Health Care Education/Training Program |
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