MS. Meredith Lynette Jackson

NPI #1720428311 in Bryant, Arkansas

Provider Information

NPI Number: 1720428311
Entity Type: Individual
Name: MS. Meredith Lynette Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Jun 27, 2013
Last Updated: Jun 27, 2013

Practice Location

Address: 2615 N PRICKETT RD
City: Bryant
State: Arkansas
ZIP Code: 72022-7523
Phone: (501) 847-7337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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