Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAMMI JACKSON
Deactivated Sole ProprietorSHAMMI JACKSON is a Foot & Ankle Surgery healthcare provider located in ATOKA, Oklahoma. NPI 1558004309 is deactivated in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · ATOKA, OK
This NPI has been deactivated.
The record was deactivated on October 7, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1558004309
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 19, 2022 (0.46849315068493 yrs)
- Last Updated
- Jan 27, 2023
- Deactivated
- Oct 7, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
1680 S GREATHOUSE DRIVEATOKA, OK, 745257452Browse OK providers · Browse ZIP 74525
- Phone
- 5802976965
- Fax
- 5802976965
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
Other Foot & Ankle Surgery Providers in ATOKA, OK
| Name | Credential | NPI |
|---|---|---|
| JADEN DAWN TRUJILLO | — | 1104438803 |
| KARIS MIKAELA WEST | — | 1689286387 |
| DESTANY HENRY | — | 1730792904 |
| JONNA MARIE FITE | — | 1861085144 |
| CARISSA LAVERNE MOORE | — | 1588245013 |
| CODI BURLESON | — | 1811667348 |
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.