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1740277532
LANELLE JACKSON
LITTLE ROCK, AR
NPI
1740277532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: AR AO1239ANP)
Enumeration Date
2005-10-05
Last Update Date
2007-07-08
Business Address
Ms. LANELLE JACKSON APN
4300 W 7TH ST
LITTLE ROCK, AR 72205-5446
Phone number: 501-257-6844
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Mailing Address
Ms. LANELLE JACKSON APN
115 HOLIDAY RD
SOLGOHACHIA, AR 72156-8802
Phone number: 501-257-6844
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