Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH RENEE JACKSON
ActiveELIZABETH RENEE JACKSON is a Surgical Physician Assistant healthcare provider located in STILLWATER, Oklahoma. NPI 1043033129 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · STILLWATER, OK
Registration Details
- NPI Number
- 1043033129
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 6, 2024 (1.8017655427742 yrs)
- Last Updated
- Nov 6, 2024
Practice Information
- Address
-
1301 W 6TH AVESTILLWATER, OK, 740744375Browse OK providers · Browse ZIP 74074
- Phone
- 4055331074
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.