MS. MARTINNA TIARA JACKSON NPI 1003731340

NPI Information

  • NPI: 1003731340
  • Provider Name: MS. MARTINNA TIARA JACKSON
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: PO BOX 191
    HERMITAGE, AR
    ZIP 71647
  • Phone: (870) 415-3684

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NPI Details

MS. Martinna Tiara Jackson is a mental health counselor in Hermitage, AR. MS. Martinna Tiara Jackson NPI is 1003731340. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

PO BOX 191
HERMITAGE, AR
ZIP 71647-191
Phone: (870) 415-3684

The enumeration date for this NPI number is 8/13/2026 and was last updated on 8/13/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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