Courtney Jackson

NPI #1205609815 in Malvern, Arkansas

Provider Information

NPI Number: 1205609815
Entity Type: Individual
Name: Courtney Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Nov 6, 2023
Last Updated: Jul 29, 2024

Practice Location

Address: 1615 MARTIN LUTHER KING BLVD
City: Malvern
State: Arkansas
ZIP Code: 72104-2233
Phone: (501) 332-5236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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