Quenton James Jackson

Peer Specialist · Yukon, OK

Individual Active NPI

NPI number 1821774084

Practice location

801 Liberty Mesa Ct
Yukon, OK 73099-5571
Phone
(405) 593-7551

Open in Google Maps

NPI record

NPI
1821774084
Entity type
Individual (Type 1)
Enumeration date
June 23, 2023
Last updated
June 23, 2023
Certified
June 23, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —

About Quenton Jackson

Quenton James Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 801 Liberty Mesa Ct, Yukon, OK 73099-5571. The NPI number 1821774084 was assigned on June 23, 2023 and the record was last updated on June 23, 2023.

Frequently asked questions

What is the NPI number of Quenton James Jackson?

The NPI number is 1821774084.

What is the phone number of Quenton Jackson?

The phone number listed for the practice location is (405) 593-7551.

Where is Quenton Jackson located?

801 Liberty Mesa Ct, Yukon, OK 73099-5571.

What is the taxonomy code for Quenton 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.

Other Peer Specialist providers in Yukon

All Peer Specialist providers in Yukon, OK →