Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA JACKSON
ActiveANDREA JACKSON is a Occupational Therapy Assistant healthcare provider located in FORT SMITH, Arkansas. NPI 1861215840 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · FORT SMITH, AR
Registration Details
- NPI Number
- 1861215840
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 6, 2024 (1.7898077951656 yrs)
- Last Updated
- Nov 6, 2024
- License
-
PTA2294 (AR)
Practice Information
- Address
-
2120 S WALDRON RD STE CFORT SMITH, AR, 729033689Browse AR providers · Browse ZIP 72903
- Phone
- 4794520424
- Primary Specialty
-
Occupational Therapy Assistant
225400000X
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.