Kim Marie Jackson
Counselor · Wagoner, OK
NPI number
1285933176
Practice location
2109 S Highway 69Wagoner, OK 74467-9310
- Phone
- (918) 485-0242
- Fax
- (918) 485-0204
NPI record
- NPI
- 1285933176
- Entity type
- Individual (Type 1)
- Enumeration date
- March 18, 2011
- Last updated
- March 18, 2011
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X |
— | — |
About Kim Jackson
Kim Marie Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 2109 S Highway 69, Wagoner, OK 74467-9310. The NPI number 1285933176 was assigned on March 18, 2011 and the record was last updated on March 18, 2011.
Frequently asked questions
What is the NPI number of Kim Marie Jackson?
The NPI number is 1285933176.
What is the phone number of Kim Jackson?
The phone number listed for the practice location is (918) 485-0242.
Where is Kim Jackson located?
2109 S Highway 69, Wagoner, OK 74467-9310.
What is the taxonomy code for Kim Jackson?
The primary taxonomy code is 101Y00000X – Counselor.
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.
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