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

Leslie Jackson

Individual provider Specialist · NPI 1417717422

Leslie Jackson is a Specialist in Jonesboro, Arkansas. Licensed in Arkansas. Registered with an NPI since 2024.

Licensed in
AR
In the registry since
2024
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Practice location Address checks out

1835 Grant Ave
Jonesboro, AR 72401-6155
Phone: (870) 974-9114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (AR)

Record details

NPI number1417717422
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024

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