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

JALIYAH JACKSON
NPI 1861397275
Student in an Organized Health Care Education/Training Program in Maumelle, AR

Active since October 14, 2026
2001 CLUB MANOR DR, MAUMELLE, AR 72113(501) 734-8085 Get Directions Write a Review

NPPES record added: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jaliyah Jackson NPPES

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

JALIYAH JACKSON (NPI 1861397275) is an individual student in an organized health care education/training program in Maumelle, Arkansas and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1861397275
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJALIYAH JACKSON
Location Address2001 CLUB MANOR DRMaumelle, AR 72113-7777
Mailing Address4710 Sam Peck Rd Apt 1106Little Rock, AR 72223-5045
Phone(501) 734-8085
Sole ProprietorYes
Enumeration DateOctober 14, 2026
NPPES CertifiedOctober 14, 2026
✔ NPI 1861397275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedRegistered NurseTaxonomy 163W00000X · License 222417 (AR)
2001 CLUB MANOR DR, Maumelle, AR 72113
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTEGRATIVE MEDICAL CENTER OF ARKANSAS PA
Clinic/Center (Primary Care)
2001 CLUB MANOR DR, SUITE D
MAUMELLE, AR 72113
Pulaski County (501) 773-6318
DR. AMY LYNN BEARD M.D.
Emergency Medicine
2001 CLUB MANOR DR, SUITE J2
MAUMELLE, AR 72113
Pulaski County (501) 581-1212
ANNA PREWITT APRN
Nurse Practitioner (Family)
2001 CLUB MANOR DR
MAUMELLE, AR 72113
Pulaski County (501) 734-8085
DR. DAVID CHARLES HAAS M.D.
Psychiatry & Neurology (Psychiatry)
2001 CLUB MANOR DR, SUITE J
MAUMELLE, AR 72113
Pulaski County (501) 687-0488
DESTINY E SELLERS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2001 CLUB MANOR DR
MAUMELLE, AR 72113
Pulaski County (501) 734-8085
SUBLETTE THERAPEUTIC SERVICES, PLLC
Community/Behavioral Health
2001 CLUB MANOR DR, SUITE D
MAUMELLE, AR 72113
Pulaski County (501) 352-2429

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 Jaliyah Jackson's NPI number?

The NPI number for Jaliyah Jackson is 1861397275. It was assigned to this individual provider in the NPPES registry on October 14, 2026.

Where is Jaliyah Jackson located?

Jaliyah Jackson practices at 2001 Club Manor Dr, Maumelle, AR 72113. The listed phone number is (501) 734-8085.

What is Jaliyah Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jaliyah Jackson was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.