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

AMELIA DEE JACKSON, NP-C

Active

AMELIA DEE JACKSON, NP-C is a Nurse Practitioner healthcare provider located in GRAVETTE, Arkansas. NPI 1093105918 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · GRAVETTE, AR

Registration Details

NPI Number
1093105918
Provider Type
Individual
Gender
Female
NPI Issued
Jan 30, 2015 (11.504566829861 yrs)
Last Updated
Oct 13, 2023
License
A004287 (AR)

Practice Information

Address
1101 JACKSON ST SW
GRAVETTE, AR, 727369121
Browse AR providers · Browse ZIP 72736
Phone
4797875221
Fax
4797879692
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in GRAVETTE, AR

Name Credential NPI
ANITA MARIE KANE ANP 1538117171
MRS. TRACY LEIGH LOWRY FNP-C 1407122179
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.