Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacks Dermatology PA

Organization Dermatology Physician · NPI 1558621367

Jacks Dermatology PA is a Dermatology Physician in Pine Bluff, Arkansas. Licensed in Arkansas. Registered with an NPI since 2012.

Licensed in
AR
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1710 W 42nd Ave
Pine Bluff, AR 71603-7008
Phone: (870) 534-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence E7442 (AR)

Record details

NPI number1558621367
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jacks — President · (870) 534-7546
NPI enumeratedMay 26, 2012
Last updated in NPPESMay 26, 2012
Mailing address1710 W 42nd Ave, Pine Bluff, AR 71603-7008

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