Janissa D Jackson PHD PLLC
NPI 1871762476 · Clinical Child & Adolescent Psychologist · Fayetteville, AR
Janissa D Jackson PHD PLLC is a Clinical Child & Adolescent Psychologist organization in Fayetteville, AR (NPI 1871762476).
Provider details
- NPI number
- 1871762476
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lavonna Latta, Business Manager(479) 443-5575
- License
- 07-01P (AR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Janissa D Jackson PHD
Registry dates
- Enumerated
- 2008-02-27
- Last updated
- 2008-02-27
Frequently asked questions
- What is Janissa D Jackson PHD PLLC's NPI number?
- Janissa D Jackson PHD PLLC's National Provider Identifier (NPI) is 1871762476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Janissa D Jackson PHD PLLC?
- Janissa D Jackson PHD PLLC is classified in the NPPES registry as Clinical Child & Adolescent Psychologist (Behavioral Health & Social Service Providers).
- Where is Janissa D Jackson PHD PLLC located?
- Janissa D Jackson PHD PLLC's practice location on file with NPPES is 1 W Sunbridge Dr, Fayetteville, AR 72703-1825.
- What is Janissa D Jackson PHD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Janissa D Jackson PHD PLLC is (479) 443-5575.
- Who is the authorized official for Janissa D Jackson PHD PLLC?
- The authorized official listed on Janissa D Jackson PHD PLLC's NPPES record is Lavonna Latta, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Janissa D Jackson PHD PLLC's NPI active?
- Yes — Janissa D Jackson PHD PLLC's NPI (1871762476) is active in the NPPES registry as of the last update on 2008-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.