MARTHA A JACKSON, DPM – NPI #1053372946
Podiatrist

NPI Profile for Dr MARTHA A JACKSON in NORTH LITTLE ROCK, AR.

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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Contact Information

MARTHA A JACKSON, DPM

2501 CRESTWOOD RD
SUITE 101
NORTH LITTLE ROCK, AR 72116-7615

Phone: 501-771-4785
Fax: 501-771-4787
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Podiatrist	213E00000X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for MARTHA A JACKSON · (Female)

NPI #	`1053372946`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	03/30/2006
Last updated	07/14/2020 - About 6 years ago
Sole proprietor ¹	Yes
Identifiers	AR License # 87 AR Medicaid 110420717 Other 5997156 AETNA Other 9468520001 CIGNA Other 0580220001 PALMETTO DME Other 2720028 UNITED HEALTH CARE AR Other 56243 AR BCBS AR Other 56243 FEP BCBS AR Other 56243 FIRST SOURCE AR Other 56243 HEALTH ADVANTAGE AR Other 16253000040 QUAL CHOICE
Hospital affiliation(s)	Not Available

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.

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