Individual provider · Type 1 NPI

Leslie Jackson

Specialist · Jonesboro, AR

NPI number 1417717422 Active

Practice location

1835 Grant Ave
Jonesboro, AR 72401-6155

Call (870) 974-9114 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1417717422

Leslie Jackson's National Provider Identifier is 1417717422, issued on Mar 19, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jonesboro, AR. The record was last updated on Mar 19, 2024.