Jackson, Brian

Jackson, Brian is an individual health care provider with primary practice located at 455 Hogan Ln , Conway AR 72034-8201. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Jackson, Brian can be contacted via phone (501) 513-0799.

Contact Information

Primary practice address
455 Hogan Ln Conway AR 72034-8201
Phone: (501) 513-0799
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 225272 Arkansas

Profile Details

NPI number 1790560589
LBN Legal business name Jackson, Brian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2023
Last updated Aug 29th, 2023 - about 2 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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