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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: August 16, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.