Jackson, Willie D Tarressa

Jackson, Willie D Tarressa is an sole proprietor health care provider with primary practice located at 1310 S Linden St , Pine Bluff AR 71603-3347. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant is her primary health care specialty. Jackson, Willie D Tarressa can be contacted via phone (870) 360-1777.

Contact Information

Primary practice address
1310 S Linden St Pine Bluff AR 71603-3347
Phone: (870) 360-1777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X LLC-15810 Arkansas

Profile Details

NPI number 1225717515
LBN Legal business name Jackson, Willie D Tarressa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2023
Last updated Jul 13th, 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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