Individual
SARAH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
231 E GRAHAM AVE, PRYOR, OK 74361-2436
(918) 825-1405
(918) 825-1406
Mailing address
231 E GRAHAM AVE, PRYOR, OK 74361-2436
(918) 825-1405
(918) 825-1406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0126991
OK
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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