person
Blake Jackson
Student in an Organized Health Care Education/Training Program in Jonesboro, Arkansas
NPI 1891480273

Blake Jackson is a Student in an Organized Health Care Education/Training Program based in Jonesboro, AR. Blake Jackson practices in Jonesboro, AR. The NPI Number for Blake Jackson is 1891480273 and holds a License No. (Arkansas).

The current practice location address for Blake Jackson is 300 Carson St, Jonesboro, AR and can be reached out via phone at 709-321-1988 and via fax at 870-910-7700.

Location: 300 Carson St, Jonesboro, AR, 72404-7991
person
Provider Profile Details
NPI Number
1891480273
Provider Name
Blake Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
300 Carson St, Jonesboro, AR, 72404-7991
Phone Number
709-321-1988
Fax Number
870-910-7700
Provider Enumeration Date
04/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Carson St
City
State
Zip
72401-3104
Phone Number
709-321-1988
Fax Number
870-910-7700
person
Provider Business Mailing Address Details
Address
300 Carson St
City
State
Zip
72401-3104
Phone Number
709-321-1988
Fax Number
870-910-7700
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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