Individual provider · Type 1 NPI
Lanelle Jackson, APN
Adult Health Nurse Practitioner · Little Rock, AR
NPI number
1740277532
Active
Practice location
4300 W 7th St
Little Rock, AR 72205-5446
Fax (501) 257-5437
Mailing address
115 Holiday Rd
Solgohachia, AR 72156-8802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | AO1239ANP (AR) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1740277532
Lanelle Jackson, APN's National Provider Identifier is 1740277532, issued on Oct 5, 2005. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Little Rock, AR. The record was last updated on Jul 13, 2026.