Audra M Jackson MD

  • NPI 1093815268
According to our database, the NPI number for Audra M Jackson MD is 1093815268 and activated since 17 years ago. Audra M Jackson MD is an individual provider who specializes in Student in an Organized Health Care Education/Training Program, and the primary practice location is 3808 South Gary, Fort Smith, AR 72903. You can also contact Audra M Jackson MD via telephone number is (479) 709-7120. Provider NPI information was last updated on 08/23/2010.

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Overview of Audra M Jackson MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 09/25/2006
  • Last updated: 08/23/2010

Primary Scrop of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: Po Box 402319
    Atlanta, GA 30384
  • Phone: 479-709-7399
  • Fax: 479-709-7053

Provider Practice Location

  • Address: 3808 South Gary
    Fort Smith, AR 72903
  • Phone: 479-709-7120
  • Fax: 479-709-7123

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: E6098
  • License State: AR
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 200231990A
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OK
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Audra M Jackson MD?
  • A: The npi number for Audra M Jackson MD is 1093815268.
  • Q: What are Audra M Jackson MD's specialties?
  • A: Audra M Jackson MD's specialties are Student in an Organized Health Care Education/Training Program and different specialities.
  • Q: What is the medical license for Audra M Jackson MD?
  • A: The medical license number for Audra M Jackson MD is unknow and issued in unknow in USA.
  • Q: Where is Audra M Jackson MD practice location?
  • A: Audra M Jackson MD is practicing at 3808 South Gary, Fort Smith, AR 72903.
  • Q: How to contact Audra M Jackson MD?
  • A: You can contact Audra M Jackson MD via 479-709-7120.