Joanne Jackson

NPI #1124219605 in Brinkley, Arkansas

Provider Information

NPI Number: 1124219605
Entity Type: Individual
Name: Joanne Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician - Attendant Care Provider
Enumeration Date: Aug 8, 2007
Last Updated: Jan 6, 2020

Practice Location

Address: 412 S CHANEY AVE
City: Brinkley
State: Arkansas
ZIP Code: 72021
Phone: (501) 626-3777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X
Technician - Attendant Care Provider — Attendant Care Provider	3747A0650X	Primary

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