person
Jacklyn Ezzeldin
Psychiatric/Mental Health Registered Nurse in Little Rock, Arkansas
NPI 1861143364

Jacklyn Ezzeldin is a Psychiatric/Mental Health Registered Nurse based in Little Rock, AR and is specialized in Psychiatric/Mental Health. Jacklyn Ezzeldin practices in Little Rock, AR. The NPI Number for Jacklyn Ezzeldin is 1861143364 and holds a License No. R04563 (Arkansas).

The current practice location address for Jacklyn Ezzeldin is 6601 W 12Th St, Little Rock, AR and can be reached out via phone at 501-666-8686. You can also correspond with Jacklyn Ezzeldin through the mailing address at PO BOX 251970, LITTLE ROCK, AR - 72225-1970 (mailing address contact number: 501-666-8686).

Location: 6601 W 12Th St, Little Rock, AR, 72225-1970
person
Provider Profile Details
NPI Number
1861143364
Provider Name
Jacklyn Ezzeldin
Credential
Provider Entity Type
Individual
Gender
Female
Address
6601 W 12Th St, Little Rock, AR, 72225-1970
Phone Number
501-666-8686
Fax Number
Provider Enumeration Date
01/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6601 W 12Th St
City
State
Zip
72204-1513
Phone Number
501-666-8686
Fax Number
person
Provider Business Mailing Address Details
Address
6601 W 12Th St
City
State
Zip
72204-1513
Phone Number
501-666-8686
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
R04563 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R04563 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
R04563 (Arkansas)
Definition
Definition to come...
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