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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHILLIP COREY JACKSON, MD PA

Active Organization

PHILLIP COREY JACKSON, MD PA is a Family Medicine organization located in HARRISON, Arkansas. NPI 1821287830 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · HARRISON, AR

Registration Details

NPI Number
1821287830
Provider Type
Organization
NPI Issued
Oct 16, 2007 (18.823003483329 yrs)
Last Updated
Jun 6, 2014
License
E3074 (AR)

Practice Information

Address
1417 GLADDEN ST
HARRISON, AR, 726015121
Browse AR providers · Browse ZIP 72601
Phone
8707410016
Fax
8707414242
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.