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

Jacklyn Ezzeldin

Individual provider Child & Adolescent Psychiatric/Mental Health Registered Nurse · NPI 1861143364

Jacklyn Ezzeldin is a Child & Adolescent Psychiatric/Mental Health Registered Nurse in Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2022.

Licensed in
AR
In the registry since
2022
Specialties on file
3

Practice location Address checks out

6601 W 12th St
Little Rock, AR 72204-1513
Phone: (501) 666-8686
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence R04563 (AR)
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X · Licence R04563 (AR)
Adult Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0809X · Licence R04563 (AR)

Record details

NPI number1861143364
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 16, 2022
Last updated in NPPESJanuary 16, 2022
Certification dateJanuary 16, 2022

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