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ANDREA JACKSON
NPI 1861215840
Rehabilitation Practitioner in Fort Smith, AR

Active since November 06, 2024
2120 S WALDRON RD STE C, FORT SMITH, AR 72903(479) 452-0424 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea Jackson NPPES

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

ANDREA JACKSON (NPI 1861215840) is an individual rehabilitation practitioner in Fort Smith, Arkansas, licensed in Arkansas (PTA2294) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1861215840
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameANDREA JACKSON
Location Address2120 S WALDRON RD STE CFort Smith, AR 72903-3689
Mailing Address13364 Highway 219Ozark, AR 72949-8939 · (479) 209-2545
Phone(479) 452-0424
Sole ProprietorNo
Enumeration DateNovember 6, 2024
NPPES CertifiedNovember 6, 2024
✔ NPI 1861215840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
License✔ Licensed in AR · PTA2294
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
2120 S WALDRON RD STE C, Fort Smith, AR 72903
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Other Names 1

Other Name (5)Nikki Jackson

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 1861215840. It was assigned to this individual provider in the NPPES registry on November 6, 2024. The provider is also known as Nikki Jackson.

Where is Andrea Jackson located?

Andrea Jackson practices at 2120 S Waldron Rd Ste C, Fort Smith, AR 72903. The listed phone number is (479) 452-0424.

What is Andrea Jackson's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Andrea Jackson was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.