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DAVID C JACKS MD PA
NPI 1083882633
Specialist in Pine Bluff, AR

Active since February 18, 2008
4303 S MULBERRY ST, PINE BLUFF, AR 71603(870) 535-4221(870) 535-4228 Get Directions Write a Review

NPPES record last updated: November 15, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David C Jacks Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID C JACKS MD PA (NPI 1083882633) is a healthcare organization registered as a specialist in Pine Bluff, Arkansas and active in the NPI registry since February 2008. The organization lists Judy Frizielle, Billing Manager/ Nurse, as its authorized official.

NPPES Registry Identity

NPI1083882633
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDAVID C JACKS MD PA
Location Address4303 S MULBERRY STPine Bluff, AR 71603-7017
Mailing Address4303 S Mulberry StPine Bluff, AR 71603-7017 · (870) 535-4221 · Fax (870) 535-4228
Phone(870) 535-4221
Fax(870) 535-4228
Organization SubpartNo
Authorized OfficialJudy FrizielleBilling Manager/ Nurse · (870) 535-4221
Enumeration DateFebruary 18, 2008
Last NPPES UpdateNovember 15, 2013
✔ NPI 1083882633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AR · C5066
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4303 S MULBERRY ST, Pine Bluff, AR 71603
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Other Identifiers 3

Medicaid104930001AR
Medicare PIN52592AR
Medicare UPIND04668AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID JACKS M.D.
Urology
4303 S MULBERRY ST
PINE BLUFF, AR 71603
Jefferson County (870) 535-4221
DR. MARK ANTHONY G RAMIRO M.D.
Family Medicine
4303 S MULBERRY ST
PINE BLUFF, AR 71603
Jefferson County (870) 247-9499

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David C Jacks MD PA's NPI number?

The NPI number for David C Jacks MD PA is 1083882633. It was assigned to this organization in the NPPES registry on February 18, 2008.

Where is David C Jacks MD PA located?

David C Jacks MD PA is located at 4303 S Mulberry St, Pine Bluff, AR 71603. The listed phone number is (870) 535-4221.

What is David C Jacks MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for David C Jacks MD PA was last updated on November 15, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.