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Search › Arkansas › 363L00000X

Amelia Jackson, NP-C

NPI 1093105918 · on the registry since 2015

Practice

Address
1101 Jackson St Sw
Gravette, AR 72736
Phone
(479) 787-5221
Fax
(479) 787-9692
Organisation at this address
Sgoh Acquisition Inc
Sgoh Acquisition Inc
Sgoh Acquisition Inc
Gravette Medical Center Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
39

Additional practice sites

  • 1502 Se 28th St, Bentonville, AR
  • 1502 Se 28th St, Bentonville, AR

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas