Jackson, Carla Marie

Jackson, Carla Marie is an sole proprietor health care provider with primary practice located at 4903 Highway 67 W , Fulton AR 71838-9033. She recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Infusion Therapy, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Jackson, Carla Marie can be contacted via phone (903) 244-5368.

Contact Information

Primary practice address
4903 Highway 67 W Fulton AR 71838-9033
Phone: (903) 244-5368
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X 1036336 Texas
Ambulatory Health Care Facilities / Primary Care 261QP2300X 1036336 Texas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 1036336 Texas

Profile Details

NPI number 1710694971
LBN Legal business name Jackson, Carla Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2022
Last updated Oct 27th, 2022 - about 3 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.

Request for update

Popular Providers