Individual
KENDRA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A, M.ED.
Contact information
Practice address
112 S 7TH AVE, DURANT, OK 74701-5017
(580) 924-4779
Mailing address
129 SUMMIT CIR, DURANT, OK 74701-7438
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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