Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN CLAUDE JACKSON, D.O.
Active Sole ProprietorFamily Medicine · WAGONER, OK
Registration Details
- NPI Number
- 1669433546
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2006 (20.06015419937 yrs)
- Last Updated
- Mar 23, 2017
- License
-
1672 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
410 E CHEROKEE STWAGONER, OK, 744674708Browse OK providers · Browse ZIP 74467
- Phone
- 9184855591
- Fax
- 9184855758
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in WAGONER, OK
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISS B ROBERTS | D.O. | 1710979315 |
| DR. RICHARD GREEN ALLEN | D.O. | 1285615757 |
| MR. BRYAN CASEY HANNA | M.D. | 1457317497 |
| DR. MICHAEL DOUGLAS GORMAN | MD | 1639332042 |
| DR. DAVID H GOOD | D.O. | 1780009969 |
| JOHN BELK | M.D. | 1790199982 |
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.