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BLAKE JACKSON
NPI 1891480273
Student in an Organized Health Care Education/Training Program in Jonesboro, AR

Active since April 10, 2023
300 CARSON ST, JONESBORO, AR 72401(709) 321-1988(870) 910-7700 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blake Jackson NPPES

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

BLAKE JACKSON (NPI 1891480273) is an individual student in an organized health care education/training program in Jonesboro, Arkansas and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1891480273
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBLAKE JACKSON
Location Address300 CARSON STJonesboro, AR 72401-3104
Mailing Address4 Willow Creek Ln Apt 4302Jonesboro, AR 72404-7991 · (954) 464-8137
Phone(709) 321-1988
Fax(870) 910-7700
Sole ProprietorNo
Enumeration DateApril 10, 2023
NPPES CertifiedApril 10, 2023
✔ NPI 1891480273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
300 CARSON ST, Jonesboro, AR 72401
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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.

WILLIAM ALBERTO MUNIZ VAZQUEZ MD
Student in an Organized Health Care Education/Training Program
300 CARSON ST
JONESBORO, AR 72401
Craighead County (870) 910-7799
VERYL D HODGES DO
Internal Medicine
300 CARSON ST
JONESBORO, AR 72401
Craighead County (870) 932-1198
KATIE J HUTTON APRN
Nurse Practitioner (Adult Health)
300 CARSON ST
JONESBORO, AR 72401
Craighead County (870) 910-7726
VERONICA EASTON MD
Internal Medicine
300 CARSON ST
JONESBORO, AR 72401
Craighead County (870) 932-1198
MRS. JENNIFER SIFFORD APN
Clinical Nurse Specialist (Adult Health)
300 CARSON ST
JONESBORO, AR 72401
Craighead County (870) 932-1198
SARA MEHMOOD
Student in an Organized Health Care Education/Training Program
300 CARSON ST
JONESBORO, AR 72401
Craighead County (870) 910-7799
DR. SUSAN HAGEMAN-REEVES MD
Internal Medicine
300 CARSON ST
JONESBORO, AR 72401
Craighead County (870) 910-7799
JOSHUA BARTON MORRISON M.D.
Internal Medicine (Pulmonary Disease)
300 CARSON ST
JONESBORO, AR 72401
Craighead County (870) 932-1198

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 Blake Jackson's NPI number?

The NPI number for Blake Jackson is 1891480273. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Blake Jackson located?

Blake Jackson practices at 300 Carson St, Jonesboro, AR 72401. The listed phone number is (709) 321-1988.

What is Blake Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Blake Jackson was last updated on April 10, 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.