JACOB JACKSON, APRN, CNP
Nurse Practitioner - Family
Active
Individual
NPI: 1134629405
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 113330 (OK) |
| Registered Nurse - Medical-Surgical | 163WM0705X | No | 113330 (OK) |
Frequently Asked Questions
NPI 1134629405 is the National Provider Identifier for JACOB JACKSON, APRN, CNP, a Nurse Practitioner - Family provider located in Elk City, OK. This NPI was enumerated on February 13, 2018.
JACOB JACKSON, APRN, CNP practices at 1800 W 1ST ST STE 105B, Elk City, OK 73644.
Quick Facts
- NPI
- 1134629405
- Type
- Individual
- Enumerated
- Feb 13, 2018
- Last Updated
- Mar 26, 2020
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