JACKLYN EZZELDIN

LITTLE ROCK, AR
NPI1861143364
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: AR  R04563)
Additional Taxonomies163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: AR  R04563)
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: AR  R04563)
Enumeration Date2022-01-16
Last Update Date2022-01-16
Business Address
JACKLYN EZZELDIN
6601 W 12TH ST
LITTLE ROCK, AR 72204-1513
Phone number: 501-666-8686
Mailing Address
JACKLYN EZZELDIN
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686