TYLER JOSHUA JACKSON NPI 1205756970

NPI Information

  • NPI: 1205756970
  • Provider Name: TYLER JOSHUA JACKSON
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 7800 DALLAS ST
    FORT SMITH, AR
    ZIP 72903
  • Phone: (479) 314-4940

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NPI Details

Tyler Joshua Jackson is a family medicine in Fort Smith, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Tyler Joshua Jackson NPI is 1205756970. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7800 DALLAS ST
FORT SMITH, AR
ZIP 72903-278
Phone: (479) 314-4940

The enumeration date for this NPI number is 7/21/2026 and was last updated on 7/21/2026.

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
1207Q00000XFamily Medicine220733ARKANSASYes

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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