Individual
MRS. SHERRY ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3500 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006-2411
(918) 331-1776
Mailing address
399180 W 2700 RD, RAMONA, OK 74061-3530
(918) 333-0598
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD 73
OK
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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