IndividualActive
Janissa Jackson, PHD
NPI 1043365620 · Clinical Child & Adolescent Psychologist · Fort Smith, AR
Provider details
- NPI number
- 1043365620
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 07-01P (AR)
Practice location
5401 Rogers Ave Ste 201
Fort Smith, AR 72903-3763
Phone: (479) 242-4560
Fax: (479) 242-4561
Mailing address
5401 Rogers Ave Ste 201
Fort Smith, AR 72903-3763
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2024-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.