Blake Jackson
Blake Jackson is a Student in an Organized Health Care Education/Training Program in Jonesboro, Arkansas. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
300 Carson StJonesboro, AR 72401-3104
Phone: (709) 321-1988
Fax: (870) 910-7700
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1891480273 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 10, 2023 |
| Last updated in NPPES | April 10, 2023 |
| Certification date | April 10, 2023 |
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