SUYAPA MARIEL JACKSON NP
NPI 1659105195
Nurse Practitioner - Primary Care in Tontitown, AR

Q: What is Suyapa Jackson's NPI number?

The NPI number for Suyapa Jackson is 1659105195. It was assigned to this individual provider in the NPPES registry on August 28, 2024.

Q: What is Suyapa Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Suyapa Jackson was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since August 28, 2024

1523 PADOVA AVE, TONTITOWN, AR 72762(601) 209-9031 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Suyapa Mariel Jackson Np NPPES

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

SUYAPA MARIEL JACKSON NP (NPI 1659105195) is an individual primary care provider in Tontitown, Arkansas, licensed in Mississippi (906658) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1659105195

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameSUYAPA MARIEL JACKSONCredential: NP

Location Address1523 PADOVA AVETontitown, AR 72762-5386

Mailing Address1523 Padova AveTontitown, AR 72762-5386 · (601) 209-9031

Phone(601) 209-9031

Sole ProprietorNo

Enumeration DateAugust 28, 2024

NPPES CertifiedAugust 28, 2024

✔ NPI 1659105195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in MS · 906658

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 906658 (MS)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 906658 (MS)

1523 PADOVA AVE, Tontitown, AR 72762

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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 Suyapa Jackson's NPI number?

The NPI number for Suyapa Jackson is 1659105195. It was assigned to this individual provider in the NPPES registry on August 28, 2024.

Where is Suyapa Jackson located?

Suyapa Jackson practices at 1523 Padova Ave, Tontitown, AR 72762. The listed phone number is (601) 209-9031.

What is Suyapa Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Suyapa Jackson was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.