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NPI 1942944368 · live from the CMS NPI Registry

Caitlin Rachelle Jackson, APRN CPNP-PC

Nurse Practitioner, Pediatrics in Little Rock, AR. National Provider Identifier 1942944368, active.

NPI record

NPI1942944368 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location1 Childrens Way # 836, Little Rock, AR 72202
Practice phone501-364-1225
Mailing address1 Childrens Way # 653, Little Rock, AR 72202
EnumeratedApril 21, 2022
Last updatedJanuary 6, 2023
Sole proprietorNo
Other namesCaitlin Mcmillin

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200X219041 (AR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.