BRENT JACKSON
Nurse Practitioner - Acute Care
Active
Individual
NPI: 1245967405
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | 96391 (OK) |
| Nurse Practitioner - Acute Care | 363LA2100X | Yes | 210172 (OK) |
Frequently Asked Questions
NPI 1245967405 is the National Provider Identifier for BRENT JACKSON, a Nurse Practitioner - Acute Care provider located in Tuttle, OK. This NPI was enumerated on August 6, 2022.
BRENT JACKSON practices at 2377 COUNTY ROAD 1201, Tuttle, OK 73089.
Quick Facts
- NPI
- 1245967405
- Type
- Individual
- Enumerated
- Aug 6, 2022
- Last Updated
- Sep 4, 2022
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