Individual
JANET ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN-CNS, CCRN
Contact information
Practice address
3540 E 31ST ST STE 3, TULSA, OK 74135-1526
(918) 749-8378
Mailing address
3913 W VANDALIA ST, BROKEN ARROW, OK 74012-6137
(918) 645-5166
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
R0049750
OK
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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