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Thel Jackson-Earls

NPI 1790821510 · on the registry since 2007

Practice

Address
1507 Pecan Street
Newport, AR 72112
Phone
(870) 523-3643
Fax
(870) 523-8224

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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