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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB JACKSON, APRN, CNP

Active

JACOB JACKSON, APRN, CNP is a Family Nurse Practitioner healthcare provider located in ELK CITY, Oklahoma. NPI 1134629405 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · ELK CITY, OK

Registration Details

NPI Number
1134629405
Provider Type
Individual
Gender
Male
NPI Issued
Feb 13, 2018 (8.4786950635633 yrs)
Last Updated
Mar 26, 2020
Licenses
113330 (OK)
113330 (OK)

Practice Information

Address
1800 W 1ST ST STE 105B
ELK CITY, OK, 736443133
Browse OK providers · Browse ZIP 73644
Phone
5802252518
Fax
5802253167
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Medical-Surgical Nurse

Other Family Nurse Practitioner Providers in ELK CITY, OK

Name Credential NPI
ASHLEY ANN HIGGINS MSN, ARNP 1619281268
MARJORY ELIZABETH COX ARNP 1841599412
ALICIA K PRICE NP-C 1215288519
JAYNE ANN BENTLEY 1356782304
KATIE JANE ROBINSON NP-C 1326441775
RUBI ANN LITTERAL APRN-CNP 1275938797
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.