Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUYAPA MARIEL JACKSON, NP
ActiveSUYAPA MARIEL JACKSON, NP is a Primary Care Nurse Practitioner healthcare provider located in TONTITOWN, Arkansas. NPI 1659105195 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · TONTITOWN, AR
Registration Details
- NPI Number
- 1659105195
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2024 (1.9344755929802 yrs)
- Last Updated
- Aug 28, 2024
- Licenses
-
906658 (MS)906658 (MS)906658 (MS)
Practice Information
- Address
-
1523 PADOVA AVETONTITOWN, AR, 727625386Browse AR providers · Browse ZIP 72762
- Phone
- 6012099031
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Gerontological Nurse Practitioner
- Additional Specialty
- Primary Care Nurse Practitioner
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.