Beige Jackson
Peer Specialist · Pryor, OK
NPI number
1861085714
Practice location
109 N Fairland StPryor, OK 74361-4205
- Phone
- (918) 825-1405
NPI record
- NPI
- 1861085714
- Entity type
- Individual (Type 1)
- Enumeration date
- February 11, 2021
- Last updated
- February 24, 2021
- Certified
- February 24, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | — |
About Beige Jackson
Beige Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 109 N Fairland St, Pryor, OK 74361-4205. The NPI number 1861085714 was assigned on February 11, 2021 and the record was last updated on February 24, 2021.
Frequently asked questions
What is the NPI number of Beige Jackson?
The NPI number is 1861085714.
What is the phone number of Beige Jackson?
The phone number listed for the practice location is (918) 825-1405.
Where is Beige Jackson located?
109 N Fairland St, Pryor, OK 74361-4205.
What is the taxonomy code for Beige 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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