NPI 1043365620

Janissa D Jackson, PHD

Practitioner Clinical Child & Adolescent Psychologist Fort Smith, AR

Practice location

Address: 5401 Rogers Ave STE 201, Fort Smith, AR 72903-3763
Phone: (479) 242-4560
Fax: (479) 242-4561

Registered specialties (2)

Clinical Child & Adolescent Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 07-01P (AR)

Other Psychologist providers in Arkansas →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 07-01P (AR)

Registry record

NPI: 1043365620
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jan 2007
Record last updated: 17 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.