WILLIE D TARRESSA JACKSON
NPI 1225717515
Occupational Therapy Assistant in Pine Bluff, AR
About Willie D Tarressa Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIE D TARRESSA JACKSON (NPI 1225717515) is an individual occupational therapy assistant in Pine Bluff, Arkansas, licensed in Arkansas (LLC-15810) and active in the NPI registry since July 2023.
NPPES Registry Identity
Specialties & Licenses 2
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 Willie D Jackson's NPI number?
The NPI number for Willie D Jackson is 1225717515. It was assigned to this individual provider in the NPPES registry on July 13, 2023.
Where is Willie D Jackson located?
Willie D Jackson practices at 1310 S Linden St, Pine Bluff, AR 71603. The listed phone number is (870) 360-1777.
What is Willie D Jackson's specialty?
The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.
When was this NPI record last updated?
The NPPES record for Willie D Jackson was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.