Kimberly R. Jackson
Developmental Therapist · Warren, AR
NPI number
1043597867
Practice location
206 Bragg StWarren, AR 71671-2500
- Phone
- (870) 226-7844
- Fax
- (870) 226-2798
NPI record
- NPI
- 1043597867
- Entity type
- Individual (Type 1)
- Enumeration date
- November 8, 2011
- Last updated
- November 8, 2011
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Developmental Therapist Primary | 222Q00000X |
— | — |
Mailing address
1 Childrens WaySlot 512-39
Little Rock, AR 72202-3500
- Phone
- (501) 364-3620
- Fax
- (501) 364-5192
About Kimberly Jackson
Kimberly R. Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 206 Bragg St, Warren, AR 71671-2500. The NPI number 1043597867 was assigned on November 8, 2011 and the record was last updated on November 8, 2011.
Frequently asked questions
What is the NPI number of Kimberly R. Jackson?
The NPI number is 1043597867.
What is the phone number of Kimberly Jackson?
The phone number listed for the practice location is (870) 226-7844.
Where is Kimberly Jackson located?
206 Bragg St, Warren, AR 71671-2500.
What is the taxonomy code for Kimberly Jackson?
The primary taxonomy code is 222Q00000X – Developmental Therapist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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