Jacksonville Ep PLLC

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

Legal business name

JACKSONVILLE EP PLLC

Practice address

17810 Chenal Parkway
Little Rock, AR 72223

Phone

(713) 660-0557

NPI assigned

Feb 26, 2026

Last updated

Feb 26, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Keelyn Marlatt

Title

Director of Revenue Cycle

Phone

(713) 660-0557

Specialties & licenses 1

Addresses

Tax ID family

Jacksonville Ep PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jacksonville Ep PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Jacksonville, FL
  • NPI 1851245047
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1841144680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17810 CHENAL PARKWAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72223",
            "telephone_number": "713-660-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17810 CHENAL PARKWAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72223",
            "telephone_number": "713-660-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE EP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "MARLATT",
        "authorized_official_first_name": "KEELYN",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "713-660-0557"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Andrew Jackson
• Tommy Jackson, LAC
• Tony O'Neal Jackson
• Topeka Jackson, LMSW
• Whitney Erin Jackson, RBT
• Angela Jacobs, FNP
• Cassidy Lynne Jacobs, PA-C
• Dewayne Jacobs
• Jazmyne Jacobs, RN
• Meredith Jacobs

• Emergency Medical Services (Emergency Medicine) Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.