Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY JO JACKSON, BHRS
Active Sole ProprietorSTACEY JO JACKSON, BHRS is a Specialist healthcare provider located in IDABEL, Oklahoma. NPI 1477849826 is currently active in the NPPES registry. Verify at CMS.
Specialist · IDABEL, OK
Registration Details
- NPI Number
- 1477849826
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 23, 2011 (15.124874020399 yrs)
- Last Updated
- Jun 23, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
17 S CENTRAL AVEIDABEL, OK, 747454625Browse OK providers · Browse ZIP 74745
- Phone
- 5803060303
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in IDABEL, OK
| Name | Credential | NPI |
|---|---|---|
| JOHN H MIGLIACCIO | MD | 1457303430 |
| LORINDA GAYLE MORRIS | BHRS | 1508957275 |
| JENNIFER REBECCA NEWMAN | — | 1891886255 |
| MR. SAMUEL EDWARD CLARK | B.S.W. | 1326269804 |
| DARCIE FINETTE HILTON-SNIEGIECKI | BA BHRS | 1255542148 |
| GLENDA K MITCHELL | BA, PSRS | 1164619052 |
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.