Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MYRIAH JACKSON
Active Sole ProprietorCommunity Health Worker · STILLWATER, OK
Registration Details
- NPI Number
- 1356685929
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 20, 2012 (13.419356134858 yrs)
- Last Updated
- Nov 20, 2012
- Sole Proprietor
- Yes
Practice Information
- Address
-
4806 N PERKINS RDSTILLWATER, OK, 740751710Browse OK providers · Browse ZIP 74075
- Phone
- 4053722913
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in STILLWATER, OK
| Name | Credential | NPI |
|---|---|---|
| DANIEL CASS SMITH | BA, BHRS | 1952655334 |
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.