Individual provider · Type 1 NPI

Timber Laine Jackson, FNP-C

Family Nurse Practitioner · Tuttle, OK

NPI number 1164021150 Active

About NPI 1164021150

Timber Laine Jackson, FNP-C's National Provider Identifier is 1164021150, issued on Oct 20, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tuttle, OK. The record was last updated on Oct 20, 2020.