Debra A Jackson
NPI #1710320320 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1710320320
- Entity Type
- Individual
- Name
- Debra A Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Apr 12, 2013
- Last Updated
- Apr 12, 2013
Practice Location
- Address
- 3450 W 34TH AVE
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71603-5508
- Phone
- (870) 534-6067
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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