Porter Jackson III, D.C.

Chiropractor · Pine Bluff, AR

Individual Active NPI

NPI number 1902296353

Practice location

1518 S Poplar St
Pine Bluff, AR 71601-6249
Phone
(870) 595-4878

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NPI record

NPI
1902296353
Entity type
Individual (Type 1)
Enumeration date
January 23, 2015
Last updated
January 23, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 16032 AR

About Dr. Jackson

Porter Jackson III, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1518 S Poplar St, Pine Bluff, AR 71601-6249. The NPI number 1902296353 was assigned on January 23, 2015 and the record was last updated on January 23, 2015.

Dr. Jackson lists a license in the registry: #16032 (AR) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Porter Jackson III, D.C.?

The NPI number is 1902296353.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (870) 595-4878.

Where is Dr. Jackson located?

1518 S Poplar St, Pine Bluff, AR 71601-6249.

What is the taxonomy code for Dr. Jackson?

The primary taxonomy code is 111N00000X – Chiropractor.

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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