Individual provider · Type 1 NPI
Malarie Jackson
Family Nurse Practitioner · Oklahoma City, OK
NPI number
1285056887
Active
Practice location
609 W. Memorial Rd.
Oklahoma City, OK 73114
Mailing address
609 W. Memorial Rd
Oklahoma City, OK 73114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 98159 (OK) |
Family Nurse Practitioner: Definition to come...
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About NPI 1285056887
Malarie Jackson's National Provider Identifier is 1285056887, issued on Jan 16, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Oklahoma City, OK. The record was last updated on Oct 16, 2015.