MISS DEBORAH JACKSON A.P.N. NPI 1770816076

NPI Information

NPI: 1770816076
Provider Name: MISS DEBORAH JACKSON, A.P.N.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2710 COLLEGE AVE
CONWAY, AR
ZIP 72034
Phone: (501) 329-1800
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MISS Deborah Jackson, A.P.N. is a family nurse practitioner in Conway, AR. MISS Deborah Jackson, A.P.N. NPI is 1770816076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2710 COLLEGE AVE
CONWAY, AR
ZIP 72034-141
Phone: (501) 329-1800

The enumeration date for this NPI number is 9/17/2009 and was last updated on 2/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	A01545 ANP	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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