Individual
MS. ELIZABETH ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNS
Contact information
Practice address
3400 NW EXPRESSWAY STE 200, OKLAHOMA CITY, OK 73112-4491
(405) 713-9900
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 713-9900
(405) 713-9920
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
00085963
OK
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
00085963
OK
Other
Enumeration date
04/09/2018
Last updated
06/02/2021
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