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Contact Information

NANCY L JACKSON, RN
619 N MAIN ST
MUSKOGEE, OK74401-4431
 Phone: 918-682-8407
 Fax: 918-687-0976
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Health

163WX0106X
Indicates primary specialty

NPI Profile & details for NANCY L JACKSON · (Female)

NPI Number 1265796353
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 07/03/2012
Last updated 07/03/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • OK License # R29624
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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