Janissa D Jackson PHD

NPI 1043365620 - Psychologist - 103TC0700X

NPI Details
NPI 1043365620
Gender Female
Enumeration Date 01/24/2007
Last Updated 02/27/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
1 W SUNBRIDGE DR
FAYETTEVILLE AR, 72703-1825, US
Phone (479) 443-5575
Fax (479) 443-9554
Business Location
1 W SUNBRIDGE DR
FAYETTEVILLE AR, 72703-1825, US
Phone (479) 443-5575
Fax (479) 443-9554
Toxanomy
Taxonomy Code 103TC0700X
License State Arkansas
License Number 07-01P
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According to our database, Dr. Janissa D Jackson PHD NPI is 1043365620, taxonomy code is 103TC0700X and license number is 07-01P, license state is located at Arkansas. Janissa D Jackson PHD physically located at 1 W Sunbridge Dr, Fayetteville AR, 72703-1825. NPI Number Janissa D Jackson PHD has the Individual type.

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1043365620 NPI number is provided on an as is basis without warranty of any kind. 1043365620 is maintained by the National Plan & Provider Enumeration System. The contents of Janissa D Jackson PHD are for informational purposes only.