Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Jackson

Individual provider Rehabilitation Practitioner · NPI 1861215840

Andrea Jackson is a Rehabilitation Practitioner in Fort Smith, Arkansas. Licensed in Arkansas. Registered with an NPI since 2024.

Licensed in
AR
In the registry since
2024

Practice location Address checks out

2120 S Waldron Rd Ste C
Fort Smith, AR 72903-3689
Phone: (479) 452-0424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X · Licence PTA2294 (AR)

Record details

NPI number1861215840
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 6, 2024
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024
Mailing address13364 Highway 219, Ozark, AR 72949-8939

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