Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAVITS L JACKSON
Active Sole ProprietorMR. JAVITS L JACKSON is a Van Provider healthcare provider located in PINE BLUFF, Arkansas. NPI 1104506799 is currently active in the NPPES registry. Verify at CMS.
Van Provider · PINE BLUFF, AR
Registration Details
- NPI Number
- 1104506799
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2023 (3.0680916577517 yrs)
- Last Updated
- Jul 19, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
8 WHITE TAIL CVPINE BLUFF, AR, 716038149Browse AR providers · Browse ZIP 71603
- Phone
- 8707181186
- Primary Specialty
-
Van Provider
344600000X
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.