person
Jacob Jackson, APRN,CNP
Medical-Surgical Registered Nurse in Elk City, Oklahoma
NPI 1134629405

Jacob Jackson is a Medical-Surgical Registered Nurse based in Elk City, OK and is specialized in Medical-Surgical. Jacob Jackson practices in Elk City, OK and has the professional credentials of APRN,CNP. The NPI Number for Jacob Jackson is 1134629405 and holds a License No. 113330 (Oklahoma).

The current practice location address for Jacob Jackson is 1800 W 1St St Ste 105B, Elk City, OK and can be reached out via phone at 580-225-2518 and via fax at 580-225-3167.

Location: 1800 W 1St St Ste 105B, Elk City, OK, 73648-2339
person
Provider Profile Details
NPI Number
1134629405
Provider Name
Jacob Jackson
Credential
APRN,CNP
Provider Entity Type
Individual
Gender
Male
Address
1800 W 1St St Ste 105B, Elk City, OK, 73648-2339
Phone Number
580-225-2518
Fax Number
580-225-3167
Provider Enumeration Date
02/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1800 W 1St St Ste 105B
City
State
Zip
73644-3133
Phone Number
580-225-2518
Fax Number
580-225-3167
person
Provider Business Mailing Address Details
Address
1800 W 1St St Ste 105B
City
State
Zip
73644-3133
Phone Number
580-225-2518
Fax Number
580-225-3167
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
License No.
113330 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
113330 (Oklahoma)
Definition
Definition to come...
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