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

MS. KYNDRA ASHANTA JACKSON, RN

Active

Community Health Nurse · FORT SILL, OK

Registration Details

NPI Number
1790880011
Provider Type
Individual
Gender
Female
NPI Issued
Sep 13, 2006 (19.614493298021 yrs)
Last Updated
Jul 8, 2007
License
R153354 (MD)

Practice Information

Address
4301 MOW-WAY ROAD
REYNOLDS ACH (ATTN: MCUA-QC, MS. PRESCOTT)
FORT SILL, OK, 735036300
Browse OK providers · Browse ZIP 73503
Phone
5804582134
Fax
5804582314
Primary Specialty
Community Health Nurse
163WC1500X

Other Community Health Nurse Providers in FORT SILL, OK

Name Credential NPI
REBECCA S RABB RN 1649375809
MICHELLE NEYSMITH 1174695696
MR. SCOTT ANTHONY MADDOX R.N. 1285963199
JOI ELLEN ALMY BSN, RN 1982375226
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.