Willie D Tarressa Jackson
Willie D Tarressa Jackson is a Dental Assistant in Pine Bluff, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.
- Licensed in
- AR
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
1310 S Linden StPine Bluff, AR 71603-3347
Phone: (870) 360-1777
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence LLC-15810 (AR) |
|---|---|
| Dental Assistant | Taxonomy 126800000X |
Record details
| NPI number | 1225717515 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 13, 2023 |
| Last updated in NPPES | July 13, 2023 |
| Certification date | July 12, 2023 |