Leslie Jackson is a Specialist based in Jonesboro, AR. Leslie Jackson practices in Jonesboro, AR. The NPI Number for Leslie Jackson is 1417717422 and holds a License No. (Arkansas).
The current practice location address for Leslie Jackson is 1835 Grant Ave, Jonesboro, AR and can be reached out via phone at 870-974-9114.
Location: 1835 Grant Ave, Jonesboro, AR, 72401-6155
Provider Profile Details
NPI Number
1417717422
Provider Name
Leslie Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1835 Grant Ave, Jonesboro, AR, 72401-6155
Phone Number
870-974-9114
Fax Number
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 290655795 | 05 | AR |
Provider Business Practice Location Address Details
Address
1835 Grant Ave
City
State
Zip
72401-6155
Phone Number
870-974-9114
Fax Number
Provider Business Mailing Address Details
Address
1835 Grant Ave
City
State
Zip
72401-6155
Phone Number
870-974-9114
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
(Arkansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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