Lookup NPI Numbers from the NPI Registry
NPI Profile for JACOB JACKSON in ELK CITY, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Medical-Surgical |
163WM0705X |
| NPI Number | 1134629405 |
|
| Status | Active | |
| Credentials | APRN, CNP | |
| Entity | Individual | |
| Enumeration date | 02/13/2018 | |
| Last updated | 03/26/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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JACOB JACKSON
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JACOB JACKSON, APRN, CNP