MR. KARIS LAVON JACKSON SR.
NPI 1073887808
Specialist/Technologist, Other - Electroneurodiagnostic in Tulsa, OK

Active since February 24, 2012
218 S 182ND EAST AVE, TULSA, OK 74108(918) 691-8579 Get Directions Write a Review

NPPES record last updated: February 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Karis Lavon Jackson Sr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KARIS LAVON JACKSON SR. (NPI 1073887808) is an individual electroneurodiagnostic provider in Tulsa, Oklahoma, licensed in Oklahoma (1194001412) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1073887808
Entity TypeIndividualMale
Primary Taxonomy246ZE0600X
Provider Legal NameMR. KARIS LAVON JACKSON SR.
Location Address218 S 182ND EAST AVETulsa, OK 74108-2133
Mailing Address218 S 182nd East AveTulsa, OK 74108-2133 · (918) 691-8579
Sole ProprietorYes
Enumeration DateFebruary 24, 2012
NPI 1073887808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZE0600X
License Licensed in OK · 1194001412
218 S 182ND EAST AVE, Tulsa, OK 74108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karis Jackson's NPI number?

The NPI number for Karis Jackson is 1073887808. It was assigned to this individual provider in the NPPES registry on February 24, 2012.

Where is Karis Jackson located?

Karis Jackson practices at 218 S 182nd East Ave, Tulsa, OK 74108. The listed phone number is (918) 691-8579.

What is Karis Jackson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

When was this NPI record last updated?

The NPPES record for Karis Jackson was last updated on February 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.