Kim Ngan Thi Jackson
Internist - Allergy & Immunology
18 Corporate Hill Dr Ste 110
Little Rock
, Arkansas 72205-4565
Kim Ngan Thi Jackson
Internist - Allergy & Immunology
18 Corporate Hill Dr Ste 110
Little Rock
, Arkansas 72205-4565
(501) 978-7113
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About
Features
Specialties
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Kim Ngan Thi Jackson
- 18 Corporate Hill Dr Ste 110
- Little Rock, AR
- Zip : 72205-4565
- Phone : (501) 978-7113
Second Address
- Kim Ngan Thi Jackson
- 18 Corporate Hill Dr Ste 110
- Little Rock, AR
- Zip : 72205-4565
- Fax : (501) 223-2625
- Phone : (501) 224-1156
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | E13055 | AR |
National Provider Identifier
| NPI | 1902292329 |
|---|---|
| Provider Name | Kim Ngan Thi Jackson |
| First Address | Little Rock, AR 72205-4565 |
| Second Address | Little Rock, AR 72205-4565 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2015 |
| Last Update Date | 07/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.