Individual
JILL L JACKSON-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5711 E 71ST ST, SUITE 115, TULSA, OK 74136-6628
(918) 494-2902
(918) 494-2905
Mailing address
5711 E 71ST ST, SUITE 220, TULSA, OK 74136-6628
(918) 477-7096
(918) 477-9362
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
187
OK
Other
Enumeration date
08/18/2006
Last updated
07/09/2007
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