Brittany Dyan Jackson

NPI #1063905230 in Durant, Oklahoma

Provider Information

NPI Number: 1063905230
Entity Type: Individual
Name: Brittany Dyan Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Jun 12, 2018
Last Updated: Jun 12, 2018

Practice Location

Address: 1001 W MAIN ST
City: Durant
State: Oklahoma
ZIP Code: 74701-5038
Phone: (580) 924-7330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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