Brent Jackson

NPI #1245967405 in Tuttle, Oklahoma

Provider Information

NPI Number
1245967405
Entity Type
Individual
Name
Brent Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Acute Care
Enumeration Date
Aug 6, 2022
Last Updated
Sep 4, 2022

Practice Location

Address
2377 COUNTY ROAD 1201
City
Tuttle
ZIP Code
73089-1067
Phone
(405) 412-3213

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Nurse Practitioner - Acute CareAcute Care

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