Individual
COURTNEY NICOLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHCMII, CPRSS
Contact information
Practice address
1120 E MAIN ST, NORMAN, OK 73071-5300
(405) 360-5100
Mailing address
1120 E MAIN ST, NORMAN, OK 73071-5300
(405) 360-5100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/18/2024
Last updated
02/18/2026
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