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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAVID C JACKS MD PA

Active Organization

DAVID C JACKS MD PA is a Specialist organization located in PINE BLUFF, Arkansas. NPI 1083882633 is currently active in the NPPES registry. Verify at CMS.

Specialist · PINE BLUFF, AR

Registration Details

NPI Number
1083882633
Provider Type
Organization
NPI Issued
Feb 18, 2008 (18.480157777654 yrs)
Last Updated
Nov 15, 2013
License
C5066 (AR)

Practice Information

Address
4303 S MULBERRY ST
PINE BLUFF, AR, 716037017
Browse AR providers · Browse ZIP 71603
Phone
8705354221
Fax
8705354228
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.