Denise Jackson

NPI #1982984118 in Trumann, Arkansas

Provider Information

NPI Number: 1982984118
Entity Type: Individual
Name: Denise Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Aug 19, 2011
Last Updated: Aug 19, 2011

Practice Location

Address: 1704 HIGHWAY 69
City: Trumann
State: Arkansas
ZIP Code: 72472
Phone: (870) 483-4003

Specialties & Taxonomy Codes

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

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