person
Ms. Lisa Lanette Jackson, APN
Family Nurse Practitioner in Lewisville, Arkansas
NPI 1497828826

Lisa Lanette Jackson is a Family Nurse Practitioner based in Lewisville, AR and is specialized in Family. Lisa Lanette Jackson practices in Lewisville, AR and has the professional credentials of APN. The NPI Number for Lisa Lanette Jackson is 1497828826 and holds a License No. A02932 ANP (Arkansas).

The current practice location address for Lisa Lanette Jackson is 1117 Chestnut St, Lewisville, AR and can be reached out via phone at 870-921-5781 and via fax at 870-798-4100.

Location: 1117 Chestnut St, Lewisville, AR, 71845-1117
person
Provider Profile Details
NPI Number
1497828826
Provider Name
Lisa Lanette Jackson
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
1117 Chestnut St, Lewisville, AR, 71845-1117
Phone Number
870-921-5781
Fax Number
870-798-4100
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202614758 05 AR
institution
Provider Business Practice Location Address Details
Address
1117 Chestnut St
City
State
Zip
71845
Phone Number
870-921-5781
Fax Number
870-798-4100
person
Provider Business Mailing Address Details
Address
1117 Chestnut St
City
State
Zip
71845
Phone Number
870-921-5781
Fax Number
870-798-4100
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
A02932 ANP (Arkansas)
Definition
Definition to come...
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