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LESLIE JACKSON
NPI 1417717422
Specialist in Jonesboro, AR

Active since March 19, 2024
1835 GRANT AVE, JONESBORO, AR 72401(870) 974-9114 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leslie Jackson NPPES

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

LESLIE JACKSON (NPI 1417717422) is an individual specialist in Jonesboro, Arkansas and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1417717422
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLESLIE JACKSON
Location Address1835 GRANT AVEJonesboro, AR 72401-6155
Mailing Address1835 Grant AveJonesboro, AR 72401-6155
Phone(870) 974-9114
Sole ProprietorNo
Enumeration DateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1417717422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
1835 GRANT AVE, Jonesboro, AR 72401
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Other Identifiers 1

Medicaid290655795AR

Other Providers at the Same Location NPPES 5

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

KIDSPOT JONESBORO, INC.
Speech-Language Pathologist
1835 GRANT AVE
JONESBORO, AR 72401
Craighead County (870) 974-9114
FAIZA CHAUDHRY M.D.
Internal Medicine
1835 GRANT AVE
JONESBORO, AR 72401
Craighead County (870) 934-5102
LORETTA LILLY
Specialist
1835 GRANT AVE
JONESBORO, AR 72401
Craighead County (870) 974-9114
CHARLENE DUNNAM CF-SLP
Speech-Language Pathologist
1835 GRANT AVE
JONESBORO, AR 72401
Craighead County (870) 974-9114
LAUREN DANIELLE LESLIE MS CCC-SLP
Speech-Language Pathologist
1835 GRANT AVE
JONESBORO, AR 72401
Craighead County (870) 974-9114

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 Leslie Jackson's NPI number?

The NPI number for Leslie Jackson is 1417717422. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Where is Leslie Jackson located?

Leslie Jackson practices at 1835 Grant Ave, Jonesboro, AR 72401. The listed phone number is (870) 974-9114.

What is Leslie Jackson'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 Leslie Jackson was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.