person
Audra M Jackson, MD
Student in an Organized Health Care Education/Training Program in Fort Smith, Arkansas
NPI 1093815268

Audra M Jackson is a Student in an Organized Health Care Education/Training Program based in Atlanta, AR. Audra M Jackson practices in Fort Smith, AR and has the professional credentials of MD. The NPI Number for Audra M Jackson is 1093815268 and holds a License No. E6098 (Arkansas).

The current practice location address for Audra M Jackson is 3808 South Gary, Fort Smith, AR and can be reached out via phone at 479-709-7120 and via fax at 479-709-7123.

Location: 3808 South Gary, Fort Smith, AR, 30384-2319
person
Provider Profile Details
NPI Number
1093815268
Provider Name
Audra M Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3808 South Gary, Fort Smith, AR, 30384-2319
Phone Number
479-709-7120
Fax Number
479-709-7123
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200231990A 05 OK
institution
Provider Business Practice Location Address Details
Address
3808 South Gary
City
State
Zip
72903-5450
Phone Number
479-709-7120
Fax Number
479-709-7123
person
Provider Business Mailing Address Details
Address
3808 South Gary
City
State
Zip
72903-5450
Phone Number
479-709-7120
Fax Number
479-709-7123
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
E6098 (Arkansas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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