Individual provider · Type 1 NPI

Kelly Annette Jackson

Speech-Language Assistant · Del City, OK

NPI number 1699609206 Active

Practice location

3001 Tinker Diagonal
Del City, OK 73115-1017

Mailing address

15112 Coral Creek Ln
Oklahoma City, OK 73165-9764

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801XNone listed

Speech-Language Assistant: Definition to come...

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About NPI 1699609206

Kelly Annette Jackson's National Provider Identifier is 1699609206, issued on Jun 9, 2026. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Del City, OK. The record was last updated on Jun 9, 2026.