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NPI Verification

National Provider Identifier: 1255659082

Charles Mark Jackson, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

3 E APPLEBY RD STE 201

FAYETTEVILLE, AR 727033158

Phone: 479-404-1100

NPI Enumeration Date

May 4, 2010

NPI Number

1255659082

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry