Jackson, Andrea

Jackson, Andrea is an individual health care provider with primary practice located at 1311 Fort Street , Barling AR 72923. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Jackson, Andrea can be contacted via phone (479) 452-5040.

Contact Information

Primary practice address
1311 Fort Street Barling AR 72923
Phone: (479) 452-5040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X R73590 Arkansas

Profile Details

NPI number 1265687594
LBN Legal business name Jackson, Andrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2008
Last updated Dec 1st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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