Janissa D Jackson Phd Pllc

  • 1871762476 NPI Number
  • |
  • Actived: 16 years ago
  • |
Janissa D Jackson Phd Pllc is a health care provider based in Fayetteville, AR. The NPI Number is 1871762476 and it has been active since 16 years ago. The specialty is Clinical, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Clinical services, Janissa D Jackson Phd Pllc is an excellent option. We are here to help you get the care you need.

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Overview of Janissa D Jackson Phd Pllc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 02/27/2008
  • Last updated: 02/27/2008

Primary Scrop of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 07-01P
  • License State: AR

Provider Mailing Address

  • Address: 1 W Sunbridge Dr
    Fayetteville, AR 72703
  • Phone: 479-443-5575
  • Fax: 479-443-9554

Provider Practice Location

  • Address: 1 W Sunbridge Dr
    Fayetteville, AR 72703
  • Phone: 479-443-5575
  • Fax: 479-443-9554

Authorized Official

  • Name: Lavonna Latta
  • Position/Title: Business Manager
  • Telephone Number: 479-443-5575

Scope of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 07-01P
  • License State: AR
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 5A252
  • Identifier Type: Other
  • Identifier State: AR
  • Issuer: BLUECROSS BLUESHIELD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Janissa D Jackson Phd Pllc?
  • A: The npi number for Janissa D Jackson Phd Pllc is 1871762476.
  • Q: What are Janissa D Jackson Phd Pllc's specialties?
  • A: Janissa D Jackson Phd Pllc's specialties are Clinical and different specialities.
  • Q: Where is Janissa D Jackson Phd Pllc business practice location?
  • A: Janissa D Jackson Phd Pllc business practice location is 1 W Sunbridge Dr, Fayetteville, AR 72703.
  • Q: How to contact Janissa D Jackson Phd Pllc?
  • A: You can contact Janissa D Jackson Phd Pllc via 479-443-5575.
  • Q: What is the authorized official for Janissa D Jackson Phd Pllc?
  • A: The authorized office name is Lavonna Latta with position/title is Business Manager and you can reach the authorized official via phone number 4794435575.
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