Brent Jackson
Acute Care Nurse Practitioner · Tuttle, OK
Practice location
2377 County Road 1201Tuttle, OK 73089-1067
- Phone
- (405) 412-3213
NPI record
- NPI
- 1245967405
- Entity type
- Individual (Type 1)
- Enumeration date
- August 6, 2022
- Last updated
- September 4, 2022
- Certified
- September 4, 2022
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X |
210172 | OK |
| Registered Nurse | 163W00000X |
96391 | OK |
About Brent Jackson
Brent Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Acute Care Nurse Practitioner (code 363LA2100X). The practice location is 2377 County Road 1201, Tuttle, OK 73089-1067. The NPI number 1245967405 was assigned on August 6, 2022 and the record was last updated on September 4, 2022.
Brent Jackson lists 2 licenses in the registry: #210172 (OK) for Acute Care Nurse Practitioner; #96391 (OK) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Brent Jackson?
The NPI number is 1245967405.
What is the phone number of Brent Jackson?
The phone number listed for the practice location is (405) 412-3213.
Where is Brent Jackson located?
2377 County Road 1201, Tuttle, OK 73089-1067.
What is the taxonomy code for Brent Jackson?
The primary taxonomy code is 363LA2100X – Acute Care Nurse Practitioner; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.