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JENNIFER LYNN JACKS M.D.

Physicians Dermatology

Provider NPI: 1699948901

Provider Information:
 JENNIFER LYNN JACKS M.D.
Gender: F
Sole Proprietor

Practice Location:
1710 W 42ND AVE  PINE BLUFF, AR 71603-7008 US
Tel: 870-718-4825  Fax: --

Business Mailing Address:
1710 W 42ND AVE  PINE BLUFF, AR 71603 US
Tel: 870-534-7546  Fax: --

NPI Information:
NPI: 1699948901
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207N00000XPhysicians
Dermatology
ARE7442

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207N00000X

Type:

Classification:



Definition:



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