Devonte Jackson, - Counselor in Lake Village, AR

Devonte Jackson, is a Counselor based in Lake Village, Arkansas. Devonte Jackson is licensed to practice in * (Not Available) (license number ) and his current practice location is 1652 S Highway 65 82, Lake Village, Arkansas. He can be reached at his office (for appointments etc.) via phone at (870) 265-3711.

NPI number for Devonte Jackson is 1417461120 and his current mailing address is 602 N Walton Blvd, Bentonville, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417461120.

Contact Information

Devonte Jackson,
1652 S Highway 65 82,
Lake Village, AR 71653-1662
(870) 265-3711
Not Available

Healthcare Provider's Profile

Full NameDevonte Jackson
GenderMale
SpecialityCounselor
Location1652 S Highway 65 82, Lake Village, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417461120
  • Provider Enumeration Date: 11/17/2017
  • Last Update Date: 11/17/2017

Medical Identifiers

Medical identifiers for Devonte Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417461120NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Devonte Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Devonte Jackson,
602 N Walton Blvd,
Bentonville, AR 72712-4576

Ph: (479) 464-1060
Devonte Jackson,
1652 S Highway 65 82,
Lake Village, AR 71653-1662

Ph: (870) 265-3711

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› Verified 1 days ago


Counselor in Lake Village, AR

Mrs. Tequeshia Z Mckoy, AT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 608 S Highway 65 82, Ste B, Lake Village, AR 71653
Phone: 870-265-3711    Fax: 870-265-3707
Kristina Mcintyre,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1652 S Highway 65 82, Lake Village, AR 71653
Phone: 479-464-1060    
Laniece Edwards,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1652 S Highway 65 82, Lake Village, AR 71653
Phone: 870-265-3711    Fax: 870-265-3707
Johnisha Graham,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1652 S Highway 65 82, Lake Village, AR 71653
Phone: 479-464-1060    
Teresa Rone,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 608 S Highway 65 82 Ste B, Lake Village, AR 71653
Phone: 870-265-3711    Fax: 870-265-3707
Leatrice Powell,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1652 S Highway 65 82, Lake Village, AR 71653
Phone: 870-265-3711    Fax: 870-265-3707
Ronicia Johnson Cunningham,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 608 S Highway 65 82, Ste B, Lake Village, AR 71653
Phone: 870-265-3711    Fax: 870-265-3707

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