Individual
MR. JACKIE BARTON MCCARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2015 W BROADWAY ST STE 10B, ARDMORE, OK 73401-2621
(580) 359-0184
Mailing address
2015 W BROADWAY ST STE 10B, ARDMORE, OK 73401-2621
(580) 359-0184
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
907445
TX
363L00000X
Nurse Practitioner
Primary
1192391
OK
Other
Enumeration date
02/10/2025
Last updated
03/04/2026
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