Andrea Nicole Jackson, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

234936 Issued in AR

Practice address

4810 W Commercial Dr
North Little Rock, AR 72116-7083

Phone

(501) 255-9147

NPI assigned

Oct 3, 2026

Last updated

Oct 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reding & Leach MD PLLC

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1245723584
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790985600000",
    "number": "1770487894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 FALCON DR",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721201685",
            "telephone_number": "501-542-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 W COMMERCIAL DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167083",
            "telephone_number": "501-255-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-03",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "234936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Kirby Smith OD LLC
• J. Wade Younger, LCSW, PLLC
• J.Michael Calhoun MD PA
• Nastasya Jabaly, MD
• Samir Abdel Jaber, MD
• Brandon C Jackson, PHARMD
• Carnetha Meion Jackson
• Cindy Marie Jackson, PHARM.D.
• Joe Jackson
• Katlyn Elizabeth Jackson

• Psychiatric/Mental Health Nurse Practitioner in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.