AUDRA JACKSON, MD
Family Medicine
Active
Individual
NPI: 1093815268
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | E6098 (AR) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
Frequently Asked Questions
NPI 1093815268 is the National Provider Identifier for AUDRA JACKSON, MD, a Family Medicine provider located in Fort Smith, AR. This NPI was enumerated on September 25, 2006.
AUDRA JACKSON, MD practices at 3808 SOUTH GARY, Fort Smith, AR 72903.
Quick Facts
- NPI
- 1093815268
- Type
- Individual
- Enumerated
- Sep 25, 2006
- Last Updated
- Aug 23, 2010
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