MS. Lisa Lanette Jackson, APN
NPI #1497828826 in Lewisville, Arkansas
Provider Information
- NPI Number
- 1497828826
- Entity Type
- Individual
- Name
- MS. Lisa Lanette Jackson, APN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- APN
- Enumeration Date
- Nov 15, 2006
- Last Updated
- May 29, 2015
Practice Location
- Address
- 1117 CHESTNUT ST
- City
- Lewisville
- State
- Arkansas
- ZIP Code
- 71845
- Phone
- (870) 921-5781
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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