Search › Arkansas › 363LP2300X
Suyapa Jackson, NP
NPI 1659105195 · on the registry since 2024
Practice
- Address
- 1523 Padova Ave
Tontitown, AR 72762 - Phone
- (601) 209-9031
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Also registered as
- 363LA2200X
363LG0600X - Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-28
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