Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JANISSA D JACKSON PHD PLLC
Active OrganizationJANISSA D JACKSON PHD PLLC is a Child, Clinical Psychologist organization located in FAYETTEVILLE, Arkansas. NPI 1871762476 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1871762476
- Provider Type
- Organization
- NPI Issued
- Feb 27, 2008 (18.49071435265 yrs)
- Last Updated
- Feb 27, 2008
- Licenses
-
07-01P (AR)07-01P (AR)
Practice Information
- Address
-
1 W SUNBRIDGE DRFAYETTEVILLE, AR, 727031825Browse AR providers · Browse ZIP 72703
- Phone
- 4794435575
- Fax
- 4794439554
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Child, Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.