Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUDRA M JACKSON, MD
ActiveFamily Medicine · FORT SMITH, AR
Registration Details
- NPI Number
- 1093815268
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 25, 2006 (19.587173967238 yrs)
- Last Updated
- Aug 23, 2010
- License
-
E6098 (AR)
Practice Information
- Address
-
3808 SOUTH GARYFORT SMITH, AR, 729035450Browse AR providers · Browse ZIP 72903
- Phone
- 4797097120
- Fax
- 4797097123
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Student (Health Education/Training)
Other Family Medicine Providers in FORT SMITH, AR
| Name | Credential | NPI |
|---|---|---|
| DR. JIMMY DAVID ACKLIN | M.D. | 1356345052 |
| KATHERINE A IRISH-CLARDY | M.D. | 1679577381 |
| BRYAN HOLLAN CLARDY | M.D. | 1326042037 |
| CHRISTIAAN JOHANNES SLABBERT | M.D. | 1770580169 |
| DR. THOMAS DEAN TINSMAN | M.D. | 1801893102 |
| DR. ALBERT SAMUEL KOENIG III | M.D. | 1801894738 |
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.