MISTI JACKSON-HISE

Case Manager/Care Coordinator

Active Individual
NPI: 1770100604

Practice Address

309 ROGERS AVE
Poteau, OK 74953

Phone: (918) 658-8078

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No -
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1770100604 is the National Provider Identifier for MISTI JACKSON-HISE, a Case Manager/Care Coordinator provider located in Poteau, OK. This NPI was enumerated on June 26, 2020.
MISTI JACKSON-HISE practices at 309 ROGERS AVE, Poteau, OK 74953.

Quick Facts

NPI
1770100604
Type
Individual
Enumerated
Jun 26, 2020
Last Updated
Jun 26, 2020

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