Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELI NOAH JACKSON, PA-C
Active Sole ProprietorMedical Physician Assistant · MARSHALL, AR
Registration Details
- NPI Number
- 1316583461
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 25, 2019 (6.405665790058 yrs)
- Last Updated
- Nov 25, 2019
- License
-
PT2019-050 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
942 HIGHWAY 65 NMARSHALL, AR, 726507772Browse AR providers · Browse ZIP 72650
- Phone
- 8885181418
- Fax
- 8708952164
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.