Individual provider · Type 1 NPI

Brent Jackson

Acute Care Nurse Practitioner · Tuttle, OK

NPI number 1245967405 Active

Practice location

2377 County Road 1201
Tuttle, OK 73089-1067

Call (405) 412-3213 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X96391 (OK)
Acute Care Nurse Practitioner Primary 363LA2100X210172 (OK)

Acute Care Nurse Practitioner: Definition to come...

About NPI 1245967405

Brent Jackson's National Provider Identifier is 1245967405, issued on Aug 6, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Tuttle, OK. The record was last updated on Sep 4, 2022.