STACEY JO JACKSON BHRS NPI 1477849826

NPI Information

NPI: 1477849826
Provider Name: STACEY JO JACKSON, BHRS
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
17 S CENTRAL AVE
IDABEL, OK
ZIP 74745
Phone: (580) 306-0303
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Stacey Jo Jackson, BHRS is a specialist in Idabel, OK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Stacey Jo Jackson, BHRS NPI is 1477849826. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17 S CENTRAL AVE
IDABEL, OK
ZIP 74745-625
Phone: (580) 306-0303

The enumeration date for this NPI number is 6/23/2011 and was last updated on 6/23/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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