Charissa Jackson, is a
Social Worker based in Little Rock, Arkansas. Charissa Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is
6601 W 12th St, Little Rock, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(501) 666-8686.
NPI number for Charissa Jackson is 1184031445 and her current mailing address is Po Box 251970, Little Rock, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184031445.
Healthcare Provider's Profile
| Full Name | Charissa Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 6601 W 12th St, Little Rock, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1184031445
- Provider Enumeration Date: 07/18/2014
- Last Update Date: 07/18/2014
Medical Identifiers
Medical identifiers for Charissa Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184031445 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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. Charissa 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 |
|---|
Charissa Jackson,
Po Box 251970,
Little Rock, AR 72225-1970
Ph: (501) 666-8686 | Charissa Jackson,
6601 W 12th St,
Little Rock, AR 72204-1513
Ph: (501) 666-8686 |
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