Individual provider · Type 1 NPI

Vivian Jackson

Student in an Organized Health Care Education/Training Program · Atoka, OK

NPI number 1164804563 Active

Practice location

800 S Greathouse Dr
Atoka, OK 74525-3431

Call (580) 889-2424 Map

Fax (580) 889-4050

Mailing address

PO Box 720
Atoka, OK 74525-0720

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Another provider at this address

Other student in an organized health care education/training program providers in Atoka

See all in Atoka →

About NPI 1164804563

Vivian Jackson's National Provider Identifier is 1164804563, issued on Jun 22, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atoka, OK. The record was last updated on Jun 22, 2015.