Individual provider · Type 1 NPI
Kealah Nicole Jackson
Driver · Oklahoma City, OK
NPI number
1821885229
Active
Practice location
4016 SE 48th St
Oklahoma City, OK 73135-2202
Mailing address
416 W 15th St Ste 600
Edmond, OK 73013-3672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | A088146885 (OK) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Oklahoma City
About NPI 1821885229
Kealah Nicole Jackson's National Provider Identifier is 1821885229, issued on Apr 21, 2025. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Apr 21, 2025.