Dr Janissa D Jackson, PHD - Psychologist in Fayetteville, AR

Dr Janissa D Jackson, PHD is a Psychologist - Clinical Child & Adolescent based in Fayetteville, Arkansas. Dr Janissa D Jackson is licensed to practice in Arkansas (license number 07-01P) and her current practice location is 1 W Sunbridge Dr, Fayetteville, Arkansas. She can be reached at her office (for appointments etc.) via phone at (479) 443-5575.

NPI number for Dr Janissa D Jackson is 1043365620 and her current mailing address is 1 W Sunbridge Dr, Fayetteville, Arkansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043365620.

Contact Information

Dr Janissa D Jackson, PHD
1 W Sunbridge Dr,
Fayetteville, AR 72703-1825
(479) 443-5575
(479) 443-9554



Healthcare Provider's Profile

Full NameDr Janissa D Jackson
GenderFemale
SpecialityPsychologist - Clinical Child & Adolescent
Location1 W Sunbridge Dr, Fayetteville, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043365620
  • Provider Enumeration Date: 01/24/2007
  • Last Update Date: 02/27/2008

Medical Identifiers

Medical identifiers for Dr Janissa D Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043365620NPI-NPPES
5A252OtherARBLUECROSS BLUESHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 07-01P (Arkansas)Secondary
103TC2200XPsychologist - Clinical Child & Adolescent 07-01P (Arkansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Janissa D Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Janissa D Jackson, PHD
1 W Sunbridge Dr,
Fayetteville, AR 72703-1825

Ph: (479) 443-5575
Dr Janissa D Jackson, PHD
1 W Sunbridge Dr,
Fayetteville, AR 72703-1825

Ph: (479) 443-5575

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› Verified 8 days ago


Psychologist in Fayetteville, AR

Mr. Clark Robert Thompson, MA
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 86 W Sunbridge Dr, Fayetteville, AR 72703
Phone: 479-435-6360    
Dr. Thomas T. Lawson, PH.D
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 118 E Sunbridge Dr, Fayetteville, AR 72703
Phone: 479-444-1400    Fax: 479-444-1422
Russell T House, LPE
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 60 W Sunbridge Dr, Fayetteville, AR 72703
Phone: 479-695-1240    Fax: 479-750-4843
Dr. Rosalyn D Davis, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 525 N Garland Ave, Pat Walker Health Center Room 255, Fayetteville, AR 72701
Phone: 479-575-5276    
Dr. Lissette Vanessa Valenzuela, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 525 N Garland Ave, Fayetteville, AR 72701
Phone: 479-575-5276    
Dr. Vickie L. West, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 179 N Church Ave Ste 201, Fayetteville, AR 72701
Phone: 479-521-4909    

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