Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLA MARIE JACKSON, APRN
Active Sole ProprietorCARLA MARIE JACKSON, APRN is a Primary Care Nurse Practitioner healthcare provider located in FULTON, Arkansas. NPI 1710694971 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · FULTON, AR
Registration Details
- NPI Number
- 1710694971
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 27, 2022 (3.8218474967304 yrs)
- Last Updated
- Oct 27, 2022
- Licenses
-
1036336 (TX)1036336 (TX)1036336 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4903 HIGHWAY 67 WFULTON, AR, 718389033Browse AR providers · Browse ZIP 71838
- Phone
- 9032445368
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Primary Care Clinic
- 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.