JACKS DERMATOLOGY P.A.
Dermatology at 42 Ave, Pine Bluff, AR

License number
Arkansas E7442
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: DR. JENNIFER L JACKS M.D.
Title: PRESIDENT
Phone: (870) 534-7546
Address
Address
1710 W 42Nd Ave, Pine Bluff, AR 71603
National Provider ID: 1558621367
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about JACKS DERMATOLOGY P.A. at bizstanding.com

JACKS DERMATOLOGY, PA

1710 W 42 Ave, Pine Bluff, AR 71603

Industry:
Medical Doctor's Office
Doing business as:
Jacks Dermatology Pa - Jennifer L Jacks MD
Registration:
Feb 28, 2012
Phone:
(870) 534-7546 (Phone)
State ID:
811011944
Business type:
For Profit Corporation
President, Medical Doctor, Principals:
Jennifer Lynn Jacks (Incorporator/Organizer),Billy F Stone (Tax Preparer),Jennifer Jacks (President, Medical Doctor, Principal)
Filled under act:
Dom Bus & Medical Corp; 958 of 1987 & 179 of 1961
Categories:
Dermatology Physicians & Surgeons, Physicians & Surgeons

Other Doctors licenses in Arkansas