Individual
JAMES JASON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
941 W I 35 FRONTAGE RD STE 164, EDMOND, OK 73034-7375
(405) 285-2994
(405) 285-2997
Mailing address
8609 NE 129TH ST, JONES, OK 73049-3416
(053) 885-4804
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
27258
OK
208100000X
Physical Medicine & Rehabilitation Physician
Primary
27258
OK
Other
Enumeration date
07/13/2008
Last updated
03/14/2023
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