Individual
CHRISTI MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN IMMUNIZATION
Contact information
Practice address
5208 W RENO AVE, OKLAHOMA CITY, OK 73127-6344
(405) 948-4900
Mailing address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
113770
OK
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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