Individual provider · Type 1 NPI

Jacksen G. Moore

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

NPI number 1407699143 Active

Practice location

1111 W 17th St
Tulsa, OK 74107-1886

Call (918) 582-1972 Map

Mailing address

10401 Hunters Pointe
Edmond, OK 73034-1611

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.

1,017 other providers at this address

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

See all in Tulsa →

About NPI 1407699143

Jacksen G. Moore's National Provider Identifier is 1407699143, issued on Jun 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Jun 18, 2024.