Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MRS. ANDREA NICOLE JACKSON PMHNP
NPI 1770487894
Nurse Practitioner - Psychiatric/Mental Health in North Little Rock, AR

Q: What is Andrea Jackson's NPI number?

The NPI number for Andrea Jackson is 1770487894. It was assigned to this individual provider in the NPPES registry on October 3, 2026.

Q: What is Andrea Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Jackson was last updated on October 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 03, 2026

4810 W COMMERCIAL DR, NORTH LITTLE ROCK, AR 72116(501) 255-9147 Get Directions Write a Review

NPPES record added: October 3, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mrs. Andrea Nicole Jackson Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ANDREA NICOLE JACKSON PMHNP (NPI 1770487894) is an individual psychiatric/mental health provider in North Little Rock, Arkansas, licensed in Arkansas (234936) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1770487894

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. ANDREA NICOLE JACKSONCredential: PMHNP

Location Address4810 W COMMERCIAL DRNorth Little Rock, AR 72116-7083

Mailing Address53 Falcon DrSherwood, AR 72120-1685 · (501) 542-2403

Phone(501) 255-9147

Sole ProprietorNo

Enumeration DateOctober 3, 2026

NPPES CertifiedOctober 3, 2026

✔ NPI 1770487894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AR · 234936

4810 W COMMERCIAL DR, North Little Rock, AR 72116

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Jackson's NPI number?

The NPI number for Andrea Jackson is 1770487894. It was assigned to this individual provider in the NPPES registry on October 3, 2026.

Where is Andrea Jackson located?

Andrea Jackson practices at 4810 W Commercial Dr, North Little Rock, AR 72116. The listed phone number is (501) 255-9147.

What is Andrea Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Andrea Jackson was last updated on October 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.