Jameela A Jackson, is a
Counselor - Professional based in Benton, Arkansas. Jameela A Jackson is licensed to practice in Arkansas (license number P1808113) and her current practice location is
6701 Highway 67, Benton, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(501) 303-3105.
NPI number for Jameela A Jackson is 1760781439 and her current mailing address is 6701 Highway 67 Bldg 4, Benton, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760781439.
Healthcare Provider's Profile
| Full Name | Jameela A Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 6701 Highway 67, Benton, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1760781439
- Provider Enumeration Date: 03/21/2011
- Last Update Date: 09/19/2018
Medical Identifiers
Medical identifiers for Jameela A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760781439 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | A1510138 (Arkansas) | Secondary |
| 101YP2500X | Counselor - Professional | P1808113 (Arkansas) | Primary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jameela A Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jameela A Jackson,
6701 Highway 67 Bldg 4,
Benton, AR 72015-8909
Ph: (501) 821-5500 | Jameela A Jackson,
6701 Highway 67,
Benton, AR 72015-8909
Ph: (501) 303-3105 |
Reviews and Comments