MEDICARE: JASMINE GASTON-JACKSON APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	236020	AR

General Provider Information

NPI Number	:	1821941717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMINE GASTON-JACKSON APRN

Provider Business Mailing Address
First Line	:	2525 WHITEWOOD DR
Second Line	:
City	:	SHERWOOD
State	:	AR
Zip	:	72120-8060
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1355 DAVE WARD DR STE 102
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72034-7082
Country	:	US
Telephone Number	:	877-522-1275
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

Similar Medicare Providers

1013686641 — B A SCROGGINS, INC.
Practice Location Address:

1355 DAVE WARD DR STE 101
CONWAY, AR
72034-7082

Practice Phone: 501-269-5105
Practice Fax:

1912789835 — MINA MICHAEL LLC
Practice Location Address:

1355 DAVE WARD DR STE 102
CONWAY, AR
72034-7082

Practice Phone: 346-907-4805
Practice Fax:

1073646618 — LATOYIA CONWAY-HAMPTON
Practice Location Address:

44447 10TH ST W
LANCASTER, CA
93534-3324

Practice Phone: 661-726-2630
Practice Fax:

1053927798 — MRS. MEGAN ELIZABETH SMITH
Practice Location Address:

1301 MUSEUM RD
CONWAY, AR
72032-4739

Practice Phone: 501-358-6535
Practice Fax:

1699554865 — ERICK ACUCHI QBHP
Practice Location Address:

1055 SUNFLOWER DR STE 104
CONWAY, AR
72034-3651

Practice Phone: 501-431-0075
Practice Fax:

1265385348 — CAROLINE CLAIRE DUGGAN
Practice Location Address:

2740 COLLEGE AVE
CONWAY, AR
72034-6141

Practice Phone: 501-329-5459
Practice Fax:

Directions to “ JASMINE GASTON-JACKSON APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.