Jackson-Austin, Myoshi Bernadette

Jackson-Austin, Myoshi Bernadette is an individual health care provider with primary practice located at 4301 W Markham St # 508 , Little Rock AR 72205-7101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Jackson-Austin, Myoshi Bernadette can be contacted via phone (501) 686-8000.

Contact Information

Primary practice address
4301 W Markham St # 508 Little Rock AR 72205-7101
Phone: (501) 686-8000
Fax: (501) 686-8543
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X A03669 Arkansas

Profile Details

NPI number 1942567904
LBN Legal business name Jackson-Austin, Myoshi Bernadette
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2012
Last updated Jun 21st, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942567904 NPPES
Arkansas MEDICAID 191622758

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