Martha A Jackson
Medical Specialty
Professional ID
- NPI: 1053372946
- PECOS ID: 5395788566
- Enrollment ID: I20050608000601
- Credential(MD, DO, DPM): DPM
- Medical School:
- Medical School Graduation Year: 1981
Hospital Service
- Hospital CCN1: 040137
- Business Name (LBN)1: St Vincent Medical Centernorth
Medical Practices
- Organization Name: Crestwood Foot Clinic Llc
- Group Practice ID assigned by PECOS: 8123220266
- Number of Group Practice member: 2
Location
- Address1: 2501 Crestwood Rd
- Address2: Suite 101
- City: North Little Rock
- State: Arkansas
- Zip Code: 72116
- Phone Number: (501)771-4785
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):