Search › Arkansas › 207Q00000X
Audra Jackson, MD
NPI 1093815268 · on the registry since 2006
Practice
- Address
- 3808 South Gary
Fort Smith, AR 72903 - Phone
- (479) 709-7120
- Fax
- (479) 709-7123
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-08-23
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