Search › Arkansas › 171M00000X
Brenda Jackson, MHPP
NPI 1467631556 · on the registry since 2007
Practice
- Address
- 2508 S.E. 20th
Bentonville, AR 72712 - Phone
- (479) 750-2020
- Fax
- (479) 872-2441
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 171M00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-06-03
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