Javits Jackson
NPI 1104506799 · on the registry since 2023 · sole proprietor
Practice
- Address
- 8 White Tail Cv
Pine Bluff, AR 71603 - Phone
- (870) 718-1186
Registry record
- Primary taxonomy
- Taxi
344600000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-19
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