Jacks Dermatology P.A.

LBN: Jacks Dermatology P.A.
Jacks Dermatology P.A. is an health care organization with primary practice located at 1710 W 42Nd Ave , Pine Bluff AR 71603-7008. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Jacks Dermatology P.A. can be contacted via phone (870) 534-7546, or through Jacks, Jennifer L via phone (870) 534-7546.

Contact Information

Primary practice address
1710 W 42Nd Ave Pine Bluff AR 71603-7008
Phone: (870) 534-7546
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jacks, Jennifer L Doctor of Medicine (MD)
Phone: (870) 534-7546

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X E7442 Arkansas

Profile Details

NPI number 1558621367
LBN Legal business name Jacks Dermatology P.A.
DBA Doing business as
Authorized official Jacks, Jennifer L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2012
Last updated May 26th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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