Amanda Jackson
Peer Specialist · Sallisaw, OK
NPI number
1376041202
Practice location
205 S JT StitesSallisaw, OK 74955-9301
- Phone
- (918) 775-7787
- Fax
- (918) 775-0328
NPI record
- NPI
- 1376041202
- Entity type
- Individual (Type 1)
- Enumeration date
- January 25, 2018
- Last updated
- January 25, 2018
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | — |
Mailing address
210 N JT StitesSallisaw, OK 74955-9301
- Phone
- (918) 775-7787
- Fax
- (918) 775-0328
About Amanda Jackson
Amanda Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 205 S JT Stites, Sallisaw, OK 74955-9301. The NPI number 1376041202 was assigned on January 25, 2018 and the record was last updated on January 25, 2018.
Frequently asked questions
What is the NPI number of Amanda Jackson?
The NPI number is 1376041202.
What is the phone number of Amanda Jackson?
The phone number listed for the practice location is (918) 775-7787.
Where is Amanda Jackson located?
205 S JT Stites, Sallisaw, OK 74955-9301.
What is the taxonomy code for Amanda Jackson?
The primary taxonomy code is 175T00000X – Peer Specialist.
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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