Individual provider · Type 1 NPI

Stacey Jo Jackson, BHRS

Specialist · Idabel, OK

NPI number 1477849826 Active

Practice location

17 S Central Ave
Idabel, OK 74745-4625

Call (580) 306-0303 Map

Mailing address

RR 3 Box 421
Broken Bow, OK 74728-9204

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1477849826

Stacey Jo Jackson, BHRS's National Provider Identifier is 1477849826, issued on Jun 23, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Idabel, OK. The record was last updated on Jun 23, 2011.