Individual provider · Type 1 NPI

Debra A. Jackson

Licensed Practical Nurse · Pine Bluff, AR

NPI number 1710320320 Active

Practice location

3450 W 34th Ave
Pine Bluff, AR 71603-5508

Call (870) 534-6067 Map

Fax (870) 534-7297

Mailing address

1 Childrens Way, Slot 512-39
Little Rock, AR 72202-3500

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL030099 (AR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1710320320

Debra A. Jackson's National Provider Identifier is 1710320320, issued on Apr 12, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Pine Bluff, AR. The record was last updated on Apr 12, 2013.