Jackson, Shelley

Jackson, Shelley is an individual health care provider with primary practice located at 1519 E Page Ave , Malvern AR 72104-4521. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Jackson, Shelley can be contacted via phone (501) 337-5600.

Contact Information

Primary practice address
1519 E Page Ave Malvern AR 72104-4521
Phone: (501) 337-5600
Fax: (501) 337-5603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1205367877
LBN Legal business name Jackson, Shelley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2017
Last updated Mar 24th, 2017 - about 7 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