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JACKLYN EZZELDIN
NPI 1861143364
Registered Nurse - Psychiatric/Mental Health in Little Rock, AR

Active since January 16, 2022
6601 W 12TH ST, LITTLE ROCK, AR 72204(501) 666-8686 Get Directions Write a Review

NPPES record last updated: January 16, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jacklyn Ezzeldin NPPES

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

JACKLYN EZZELDIN (NPI 1861143364) is an individual psychiatric/mental health provider in Little Rock, Arkansas, licensed in Arkansas (R04563) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1861143364
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameJACKLYN EZZELDIN
Location Address6601 W 12TH STLittle Rock, AR 72204-1513
Mailing AddressPo Box 251970Little Rock, AR 72225-1970 · (501) 666-8686
Phone(501) 666-8686
Sole ProprietorNo
Enumeration DateJanuary 16, 2022
NPPES CertifiedJanuary 16, 2022
✔ NPI 1861143364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in AR · R04563
Also ListedRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentTaxonomy 163WP0807X · License R04563 (AR)
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License R04563 (AR)
6601 W 12TH ST, Little Rock, AR 72204
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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.

MS. DORIAN LATOYA TONEY
Case Manager/Care Coordinator
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
CHERIE HARLESS
Counselor (Mental Health)
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
LAQUITA ANN CHARLES
Registered Nurse
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
MARSHAE WILSON
Case Manager/Care Coordinator
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 660-6886
SCOTT WILLIAMS QBHP
Case Manager/Care Coordinator
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
FELICIA ONYEKWELI
Licensed Practical Nurse
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
DOMINIQUE NEAL
Case Manager/Care Coordinator
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
TATIANA BUSKIRK
Registered Nurse (Psychiatric/Mental Health)
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 660-6886

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 Jacklyn Ezzeldin's NPI number?

The NPI number for Jacklyn Ezzeldin is 1861143364. It was assigned to this individual provider in the NPPES registry on January 16, 2022.

Where is Jacklyn Ezzeldin located?

Jacklyn Ezzeldin practices at 6601 W 12th St, Little Rock, AR 72204. The listed phone number is (501) 666-8686.

What is Jacklyn Ezzeldin's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Jacklyn Ezzeldin was last updated on January 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.