Lanelle Jackson APN

NPI 1740277532 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1740277532
Gender Female
Enumeration Date 10/05/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4300 W 7TH ST
LITTLE ROCK AR, 72205-5446, US
Phone (501) 257-6844
Fax (501) 257-5437
Business Location
115 HOLIDAY RD
SOLGOHACHIA AR, 72156-8802, US
Phone (501) 257-6844
Fax (501) 257-5437
Toxanomy
Taxonomy Code 363LA2200X
License State Arkansas
License Number AO1239ANP
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According to our database, Ms. Lanelle Jackson APN NPI is 1740277532, taxonomy code is 363LA2200X and license number is AO1239ANP, license state is located at Arkansas. Lanelle Jackson APN physically located at 4300 W 7th St, Little Rock AR, 72205-5446. NPI Number Lanelle Jackson APN has the Individual type.

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1740277532 NPI number is provided on an as is basis without warranty of any kind. 1740277532 is maintained by the National Plan & Provider Enumeration System. The contents of Lanelle Jackson APN are for informational purposes only.