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

KEALAH NICOLE JACKSON

Active

KEALAH NICOLE JACKSON is a Driver healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1821885229 is currently active in the NPPES registry. Verify at CMS.

Driver · OKLAHOMA CITY, OK

Registration Details

NPI Number
1821885229
Provider Type
Individual
Gender
Female
NPI Issued
Apr 21, 2025 (1.2883621560504 yrs)
Last Updated
Apr 21, 2025
License
A088146885 (OK)

Practice Information

Address
4016 SE 48TH ST
OKLAHOMA CITY, OK, 731352202
Browse OK providers · Browse ZIP 73135
Phone
4059318552
Primary Specialty
Driver
172A00000X

Other Driver Providers in OKLAHOMA CITY, OK

Name Credential NPI
MR. JERRY WAYNE SPIVEY 1487878518
KATRINA M FOSTER 1437374741
MRS. HUONG THILAN MCCABE 1457076242
MR. BEN LEE WALKER JR. 1679256432
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.