Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD LESLIE JACKSON, M.D.
ActiveDR. EDWARD LESLIE JACKSON, M.D. is a Pulmonary Disease healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1174506448 is currently active in the NPPES registry. Verify at CMS.
Pulmonary Disease · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1174506448
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2005 (20.701471334977 yrs)
- Last Updated
- Mar 14, 2024
- Licenses
-
E-4775 (AR)E-4775 (AR)
Practice Information
- Address
-
3344 N FUTRALL DRFAYETTEVILLE, AR, 727034057Browse AR providers · Browse ZIP 72703
- Phone
- 4795218200
- Fax
- 4795827310
- Primary Specialty
-
Pulmonary Disease
207RP1001X
- Additional Specialty
- Pulmonary Disease
Other Pulmonary Disease Providers in FAYETTEVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| KIM R AGEE | MD | 1003851072 |
| GARY L TEMPLETON | MD | 1477599389 |
| KYLE G HARDY | MD | 1427094390 |
| JON A SEXTON | MD | 1699703496 |
| MARK ALLEN MOSELEY JR. | M.D. | 1740441005 |
| LINDSEY ANN BARNES | MD | 1295962348 |
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.