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Stacey Jo Jackson, BHRS
Specialist in Idabel, Oklahoma
NPI 1477849826

Stacey Jo Jackson is a Specialist based in Broken Bow, OK. Stacey Jo Jackson practices in Idabel, OK and has the professional credentials of BHRS. The NPI Number for Stacey Jo Jackson is 1477849826 and holds a License No. (Oklahoma).

The current practice location address for Stacey Jo Jackson is 17 S Central Ave, Idabel, OK and can be reached out via phone at 580-306-0303.

Location: 17 S Central Ave, Idabel, OK, 74728-9204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477849826
Provider Name
Stacey Jo Jackson
Credential
BHRS
Provider Entity Type
Individual
Gender
Female
Address
17 S Central Ave, Idabel, OK, 74728-9204
Phone Number
580-306-0303
Fax Number
Provider Enumeration Date
06/23/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17 S Central Ave
City
Idabel
State
Oklahoma
Zip
74745-4625
Phone Number
580-306-0303
Fax Number
person
Provider Business Mailing Address Details
Address
17 S Central Ave
City
Idabel
State
Oklahoma
Zip
74745-4625
Phone Number
580-306-0303
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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