MRS. Miaranda Linn Jackson

NPI #1023769205 in Claremore, Oklahoma

Provider Information

NPI Number: 1023769205
Entity Type: Individual
Name: MRS. Miaranda Linn Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 10, 2022
Last Updated: Jan 10, 2022

Practice Location

Address: 3100 MEDICAL PKWY
City: Claremore
State: Oklahoma
ZIP Code: 74017-1088
Phone: (918) 342-0770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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