National Provider Identifier Database

EDWARD L JACKSON, MD – NPI #1174506448
Pulmonary Disease

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.


Contact Information

EDWARD L JACKSON, MD
3344 N FUTRALL DR
FAYETTEVILLE, AR72703-4057
Phone: 479-521-8200
Fax: 479-582-7310
Website:
Specialty Taxonomy Code
* Pulmonary Disease 207RP1001X
Critical Care Medicine 207RC0200X

* Indicates primary specialty

NPI Profile & details for EDWARD L JACKSON

NPI Number 1174506448
Credentials MD
Entity Individual
Enumeration date 11/21/2005
Last updated 03/14/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • AR License #: E-4775
  • AR Medicaid: 160768001
  • OK Medicaid: 200088310A
  • AR Other: 5N545 AR BCBS
  • AR Other: P00327943 RR MCR
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for EDWARD L JACKSON, MD

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