Raynisha Jackson

NPI #1003509175 in Tulsa, Oklahoma

Provider Information

NPI Number: 1003509175
Entity Type: Individual
Name: Raynisha Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Management
Enumeration Date: Jun 2, 2023
Last Updated: Jun 2, 2023

Practice Location

Address: 4907 S 73RD EAST AVE UNIT 4
City: Tulsa
State: Oklahoma
ZIP Code: 74145-6741
Phone: (305) 713-2623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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