IndividualActive
Jacklyn Ezzeldin
NPI 1861143364 · Psychiatric/Mental Health Registered Nurse · Little Rock, AR
Provider details
- NPI number
- 1861143364
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- R04563 (AR)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Nursing Service Providers
Practice location
6601 W 12th St
Little Rock, AR 72204-1513
Phone: (501) 666-8686
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 251970
Little Rock, AR 72225-1970
Registry dates
- Enumerated
- 2022-01-16
- Last updated
- 2022-01-16
- Certified
- 2022-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.