VIVIAN JACKSON
Student in an Organized Health Care Education/Training Program
Active
Individual
NPI: 1164804563
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | - |
Frequently Asked Questions
NPI 1164804563 is the National Provider Identifier for VIVIAN JACKSON, a Student in an Organized Health Care Education/Training Program provider located in Atoka, OK. This NPI was enumerated on June 22, 2015.
VIVIAN JACKSON practices at 800 S GREATHOUSE DR, Atoka, OK 74525.
Quick Facts
- NPI
- 1164804563
- Type
- Individual
- Enumerated
- Jun 22, 2015
- Last Updated
- Jun 22, 2015
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