Individual
JACOB JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
1800 W 1ST ST STE 105B, ELK CITY, OK 73644-3133
(580) 225-2518
(580) 225-3167
Mailing address
PO BOX 2339, ELK CITY, OK 73648-2339
(580) 225-2518
(580) 225-3167
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
113330
OK
363LF0000X
Family Nurse Practitioner
Primary
113330
OK
Other
Enumeration date
02/13/2018
Last updated
03/26/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us