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Jessica Jackson
NPI 1073760062 · on the registry since 2008
Practice
- Address
- 1105 Lynnwood St
Durant, OK 74701 - Phone
- (580) 924-6263
- Fax
- (580) 924-6775
- Organisation at this address
- Youth Services Of Bryan County, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101YA0400X
- Sex
- Female
- Record last updated
- 2010-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma