Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JANISSA D JACKSON, PHD
Active Sole ProprietorDR. JANISSA D JACKSON, PHD is a Child, Clinical Psychologist healthcare provider located in FORT SMITH, Arkansas. NPI 1043365620 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · FORT SMITH, AR
Registration Details
- NPI Number
- 1043365620
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 24, 2007 (19.52584985113 yrs)
- Last Updated
- Oct 17, 2024
- Licenses
-
07-01P (AR)07-01P (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5401 ROGERS AVE STE 201FORT SMITH, AR, 729033763Browse AR providers · Browse ZIP 72903
- Phone
- 4792424560
- Fax
- 4792424561
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Child, Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.