Henry Jackson

Case Manager/Care Coordinator · Pine Bluff, AR

Individual Active NPI

NPI number 1811280902

Practice location

620 S Laurel St
Pine Bluff, AR 71601-4859
Phone
(870) 534-4900
Fax
(870) 534-4906

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NPI record

NPI
1811280902
Entity type
Individual (Type 1)
Enumeration date
May 23, 2011
Last updated
May 23, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

About Henry Jackson

Henry Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 620 S Laurel St, Pine Bluff, AR 71601-4859. The NPI number 1811280902 was assigned on May 23, 2011 and the record was last updated on May 23, 2011.

Frequently asked questions

What is the NPI number of Henry Jackson?

The NPI number is 1811280902.

What is the phone number of Henry Jackson?

The phone number listed for the practice location is (870) 534-4900.

Where is Henry Jackson located?

620 S Laurel St, Pine Bluff, AR 71601-4859.

What is the taxonomy code for Henry Jackson?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

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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