TERESA JACKSON CLS, ASCP - NPI 1558780478 - Specialist/Technologist, Pathology in Pine Bluff, AR

Q: What is Teresa Jackson's NPI number?

The NPI number for Teresa Jackson is 1558780478. It was assigned to this individual provider in the NPPES registry on April 8, 2014.

Q: What is Teresa Jackson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Medical Technologist, with taxonomy code 246QM0706X.

Q: When was this NPI record last updated?

The NPPES record for Teresa Jackson was last updated on April 8, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Teresa Jackson Cls, Ascp NPPES

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

TERESA JACKSON CLS, ASCP (NPI 1558780478) is an individual medical technologist in Pine Bluff, Arkansas and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1558780478

Entity TypeIndividualFemale

Primary Taxonomy246QM0706X

Provider Legal NameTERESA JACKSONCredential: CLS, ASCP

Location Address4010 S MULBERRY STPine Bluff, AR 71603-7000

Mailing Address4010 S Mulberry StPine Bluff, AR 71603-7000 · (870) 541-6012 · Fax (870) 541-8696

Phone(870) 541-6012

Fax(870) 541-8696

Sole ProprietorNo

Enumeration DateApril 8, 2014

✔ NPI 1558780478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Pathology · Medical TechnologistTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246QM0706X

4010 S MULBERRY ST, Pine Bluff, AR 71603

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Other Providers at the Same Location NPPES 20

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

ELIZABETH V RIGSBY MD

Emergency Medicine