DR. MELISSA FAYE JACKSON (NPI# 1619066982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619066982 |
| Entity Type | Individual |
| Full Name | DR. MELISSA FAYE JACKSON |
| Credential | PH.D. |
| Practice Address |
2024 Arkansas Valley Dr Ste 206 Little Rock AR 72212-4166 |
| Mailing Address |
75 Riverfront Dr 438 North Little Rock AR 72114-5948 |
| Practice Telephone | 5012467171 |
| Practice Fax Number | 5012467171 |
| Mailing Telephone | 2055651694 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2014-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
12-19P | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093298655 | Melissa Marie Jackson | Registered Nurse | 456 W 68th St, Kansas City, MO 64113-1919 | 2018-09-10 |
| 1891235933 | Melissa Jackson | Marriage & Family Therapist | 202 W Manchester Ave, Playa Del Rey, CA 90293-7710 | 2017-03-07 |
| 1881086577 | Melissa Jackson | Dentist | 2539 S Columbia Pl, Tulsa, OK 74114-3232 | 2015-03-04 |
| 1346645231 | Melissa Rene Jackson | Advanced Practice Midwife | 2744 Ewing Ave S, Minneapolis, MN 55416-4213 | 2014-11-04 |
| 1992048482 | Melissa Michelle Jackson | Speech-Language Pathologist | 707 Marie Ave, Ruston, LA 71270-2715 | 2013-04-03 |
| 1033471065 | Melissa Anne Jackson | Specialist | 3133 Broadway Apt 1, New York, NY 10027-4617 | 2012-06-14 |
| 1538439112 | Melissa Jackson | Spec/Tech, Pathology | 1820 California St Nw, 41, Washington, DC 20009-1824 | 2012-01-12 |
| 1609145184 | Melissa Rena Jackson | Counselor | 11541 Village Ave, Midwest City, OK 73130-8207 | 2011-12-29 |
| 1497064695 | Melissa Lousie Jackson | Neuromusculoskeletal Medicine, Sports Medicine | 4 Victory Ln, Scarborough, ME 04074-8486 | 2010-10-05 |
| 1528224219 | Melissa Jackson | Psychiatry & Neurology | 3250 Ne 1st Ave, Suite 317, Miami, FL 33137-4191 | 2008-08-01 |
| Street Address |
2024 ARKANSAS VALLEY DR STE 206 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72212-4166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255339461 | Becky L. Porter | Psychologist | 2024 Arkansas Valley Dr, Suite 604, Little Rock, AR 72212-4166 | 2005-07-12 |
| 1942736285 | Bp Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 2024 Arkansas Valley Dr, Suite 202, Little Rock, AR 72212-4166 | 2017-05-05 |
| 1235513482 | Ashley Paige London | Speech-Language Pathologist | 2024 Arkansas Valley Dr, Suite 106, Little Rock, AR 72212-4166 | 2015-07-17 |
| 1578970125 | Krisi Gable | Speech-Language Pathologist | 2024 Arkansas Valley Dr, Suite 106, Little Rock, AR 72212-4166 | 2014-07-15 |
| 1801211388 | Mary Eve Jordan | Speech-Language Pathologist | 2024 Arkansas Valley Dr, Suite 106, Little Rock, AR 72212-4166 | 2014-02-20 |
| 1811310774 | Amber Mcadoo | Nurse Anesthetist, Certified Registered | 2024 Arkansas Valley Dr, Suite 202, Little Rock, AR 72212-4166 | 2014-01-29 |
| 1144651050 | Lighthouse Professional Clinics Inc | Community/Behavioral Health | 2024 Arkansas Valley Dr, Ste 206, Little Rock, AR 72212-4166 | 2013-12-02 |
| 1790122810 | Brian Philip Meier | Nurse Anesthetist, Certified Registered | 2024 Arkansas Valley Dr, #202, Little Rock, AR 72212-4166 | 2013-05-30 |
| 1083051312 | Laura Ann Ferguson | Nurse Anesthetist, Certified Registered | 2024 Arkansas Valley Dr, #202, Little Rock, AR 72212-4166 | 2013-05-28 |
| 1073727384 | Norma Jean Compton | Counselor | 2024 Arkansas Valley Dr, Suite 601, Little Rock, AR 72212-4166 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475805 | Arkansas Health Group | Dietitian, Registered | 10915 Rodney Parham Road, Suite G, Little Rock, AR 72212 | 2020-10-20 |
| 1043788045 | Arkansas Wellness Associates LLC | Internal Medicine | 10700 N Rodney Parham Road, Suite C11, Little Rock, AR 72212 | 2018-11-07 |
| 1538663729 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 N. Rodney Parham, Suite B, Little Rock, AR 72212 | 2018-03-21 |
| 1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
| 1174910210 | Jourdan Quinn | Nurse Practitioner | 11300 Cantrell Rd Ste 204, Little Rock, AR 72212 | 2015-04-15 |
| 1174942528 | Jacey Tanner Guthrie | Dermatology | 4200 N Rodney Parham Rd Ste 202, Little Rock, AR 72212 | 2014-04-14 |
| 1366867525 | Rustee Danielle Pruitt | Counselor | 1719 Merrill Drive, Little Rock, AR 72212 | 2014-02-25 |
| 1932520558 | Diana Johnson Pearson | Speech-Language Pathologist | 3920 Woodland Heights Rd., Little Rock, AR 72212 | 2013-12-27 |
| 1275968786 | Bill F Hefley Sr. | Allergy & Immunology | 361 Valley Club Circle, Little Rock, AR 72212 | 2013-09-04 |
| 1376987693 | Robert Carlton Power | Internal Medicine | 8 Bella View Drive, Little Rock, AR 72212 | 2013-04-18 |
| Find all providers in zip 72212 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043630734 | The Sage Center for Trauma and Wellness, Pllc | Psychologist | 2725 Cantrell Rd Ste 105, Little Rock, AR 72202-2044 | 2014-04-21 |
| 1134468895 | Brian Anderson | Psychologist | 1100 N University Ave Ste 108, Little Rock, AR 72207-6356 | 2013-01-31 |
| 1427300532 | Joy R. Pemberton | Psychologist | 4301 W. Markham, #554, Psychiatric Research Institute, Uams, Little Rock, AR 72205 | 2012-10-12 |
| 1548577521 | Laura Jane Gambone Nobles | Psychologist | 2723 Foxcroft Rd Ste 202a, Little Rock, AR 72227-6522 | 2010-09-11 |
| 1083858005 | George K. Simon Jr. | Psychologist | 1 Innwood Cir Ste 124, Little Rock, AR 72211-2448 | 2009-04-21 |
| 1730356825 | Tisha Lee Deen | Psychologist | 2723 Foxcroft Rd Ste 202, Little Rock, AR 72227-6522 | 2008-05-08 |
| 1205000403 | Meagan Rae Mcpherson | Psychologist | 10515 W Markham St Ste E3, Little Rock, AR 72205-2139 | 2008-04-17 |
| 1366635518 | Daniel John Broderick | Psychologist | 5 Chalamont Ct, Little Rock, AR 72223-5511 | 2007-08-21 |
| 1881894806 | Tracie L. Pasold | Psychologist | 800 Marshall St # 512-9, Dept. of Pediatrics, Section of Adolescent Medicine, Little Rock, AR 72202-3510 | 2007-07-18 |
| 1306976477 | Clinical Psychology Services, Inc. | Psychologist | 18 Corporate Hill Dr Ste 205, Little Rock, AR 72205-4541 | 2007-03-06 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72212 |
Please comment or provide details below to improve the information on DR. MELISSA FAYE JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.