IndividualActive
Allen Jackson, MD
NPI 1477544955 · Emergency Medicine Physician · Mountain Home, AR
Provider details
- NPI number
- 1477544955
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- R3563 (AR)
Mailing address
Po Box 1449
Mountain Home, AR 72654-1449
Registry dates
- Enumerated
- 2005-11-02
- Last updated
- 2019-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.