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Individual

JULIA ANNE JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1422 E 71ST ST STE B, TULSA, OK 74136-5060
(918) 710-0422
(918) 949-6681
Mailing address
1422 E 71ST ST STE B, TULSA, OK 74136-5060
(918) 710-0422
(918) 949-6681

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
205727
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
205727
APRN- CNS
OK
Enumeration date
10/11/2022
Last updated
10/11/2022
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