Jacks Dermatology P.a.

NPI #1558621367 in Pine Bluff, Arkansas

Provider Information

NPI Number
1558621367
Entity Type
Organization
Organization Name
Jacks Dermatology P.a.
Primary Specialty
Dermatology
Enumeration Date
May 26, 2012
Last Updated
May 26, 2012

Practice Location

Address
1710 W 42ND AVE
ZIP Code
71603-7008
Phone
(870) 534-7546

Authorized Official

Name
DR. JENNIFER L JACKS, M.D.
Title
PRESIDENT
Phone
(870) 534-7546

Specialties & Taxonomy Codes

Specialty
Dermatology

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