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

Jordan Sparrow

Individual provider Physician Assistant · NPI 1457968521

Jordan Sparrow is a Physician Assistant in Fort Smith, Arkansas. Qualified in 2024, 2 years ago. Practices with Johnson Dermatology Clinic PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
2
Licensed in
AR
In the registry since
2020

Practice location Address checks out

5921 Riley Park Dr
Fort Smith, AR 72916-6103
Phone: (479) 649-3376
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (AR)

Record details

NPI number1457968521
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2020
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024
Mailing address5921 Riley Park Dr, Fort Smith, AR 72916-6103

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Johnson Dermatology Clinic Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Smith