Jackson, Faith

Jackson, Faith is an individual health care provider with primary practice located at 221 Lindley Ln , Newport AR 72112-4954. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Other Service Providers / Specialist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Jackson, Faith can be contacted via phone (870) 523-2124.

Contact Information

Primary practice address
221 Lindley Ln Newport AR 72112-4954
Phone: (870) 523-2124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1043094105
LBN Legal business name Jackson, Faith
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2023
Last updated Nov 17th, 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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