JACKSON HAYNES

PINE BLUFF, AR
NPI1255918157
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AR  E15843)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: AR  E15843)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-03-26
Last Update Date2022-09-27
Business Address
JACKSON HAYNES MD
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603-6069
Phone number: 870-541-6000
Mailing Address
JACKSON HAYNES MD
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603-6069
Phone number: 870-541-6000