| Devonte Jackson, | |
|
1652 S Highway 65 82, Lake Village, AR 71653-1662 | |
| (870) 265-3711 | |
| Not Available |
| Full Name | Devonte Jackson |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 1652 S Highway 65 82, Lake Village, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417461120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Devonte Jackson, 602 N Walton Blvd, Bentonville, AR 72712-4576 Ph: (479) 464-1060 | Devonte Jackson, 1652 S Highway 65 82, Lake Village, AR 71653-1662 Ph: (870) 265-3711 |
Mrs. Tequeshia Z Mckoy, AT Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 S Highway 65 82, Ste B, Lake Village, AR 71653 Phone: 870-265-3711 Fax: 870-265-3707 | |
Kristina Mcintyre, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1652 S Highway 65 82, Lake Village, AR 71653 Phone: 479-464-1060 | |
Laniece Edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1652 S Highway 65 82, Lake Village, AR 71653 Phone: 870-265-3711 Fax: 870-265-3707 | |
Johnisha Graham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1652 S Highway 65 82, Lake Village, AR 71653 Phone: 479-464-1060 | |
Teresa Rone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 S Highway 65 82 Ste B, Lake Village, AR 71653 Phone: 870-265-3711 Fax: 870-265-3707 | |
Leatrice Powell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1652 S Highway 65 82, Lake Village, AR 71653 Phone: 870-265-3711 Fax: 870-265-3707 | |
Ronicia Johnson Cunningham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 S Highway 65 82, Ste B, Lake Village, AR 71653 Phone: 870-265-3711 Fax: 870-265-3707 |