Individual
MS. ANDREA BESSIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6030 S MAY AVE APT 451, OKLAHOMA CITY, OK 73159-1410
(405) 684-9976
Mailing address
6030 S MAY AVE APT 451, OKLAHOMA CITY, OK 73159-1410
(405) 684-9976
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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