Janissa D Jackson Phd
LBN: Janissa D Jackson Phd Pllc
Janissa D Jackson Phd is an health care organization with primary practice located at 1 W Sunbridge Dr , Fayetteville AR 72703-1825. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is the primary health care specialty.
Janissa D Jackson Phd Pllc can be contacted via phone (479) 443-5575, or through Latta, Lavonna via phone (479) 443-5575.
Contact Information
Primary practice address
1 W Sunbridge Dr
Fayetteville AR 72703-1825
Phone: (479) 443-5575
Fax: (479) 443-9554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 07-01P | Arkansas |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 07-01P | Arkansas |
Profile Details
| NPI number | 1871762476 |
|---|---|
| LBN Legal business name | Janissa D Jackson Phd Pllc |
| DBA Doing business as | Janissa D Jackson Phd |
| Authorized official | Latta, Lavonna |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2008 |
| Last updated | Feb 27th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871762476 | NPPES |
| Arkansas | Other | 5A252 | BLUECROSS BLUESHIELD |
Popular Providers
-
Uhs The Midwest Center For Youth & Families
1012 W. Indiana St , Kouts IN 46347-9703 -
Four County Comprehensive Mental Health
1015 Michigan Ave Main Center, Logansport IN 46947-1526 -
Legacy Clinical Consultants, Llc
3033 Ogden Ave Ste 200 , Lisle IL 60532-1976 -
Family Works Psychological Center
2002 Eastwood Road Suite 303, Wilmington NC 28403 -
Family Psychological Center, P.A.
804 S Oliver St , Wichita KS 67218-2329 -
The Beverly Center, P.C.
100 Cummings Center , Beverly MA 01915-6113 -
Jeffrey L. Hicks, Ph.D., P.C.
41 W 19Th Ave , Eugene OR 97401-3822 -
North Community Counseling Ctrs Inc
2300 W Broad St , Columbus OH 43204-3783