Lookup NPI Numbers from the NPI Registry
NPI Profile for LISA L JACKSON in LEWISVILLE, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1497828826 |
|
| Status | Active | |
| Credentials | APN | |
| Entity | Individual | |
| Enumeration date | 11/15/2006 | |
| Last updated | 05/29/2015 - About 11 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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LISA L JACKSON
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LISA L JACKSON, APN