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JACKSON GRANT
NPI 1083448724
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since August 27, 2024
1215 S BOULDER AVE, TULSA, OK 74119(918) 631-2619 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackson Grant NPPES

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

JACKSON GRANT (NPI 1083448724) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1083448724
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACKSON GRANT
Location Address1215 S BOULDER AVETulsa, OK 74119-2842
Mailing Address2814 E 8th St Apt 3136Tulsa, OK 74104-7408 · (785) 331-9570
Phone(918) 631-2619
Sole ProprietorNo
Enumeration DateAugust 27, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1083448724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1215 S BOULDER AVE, Tulsa, OK 74119
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIC SCOTT AIRITAM
Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Tulsa County (918) 631-2619
ALEXANDRA L STORCK
Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Tulsa County (918) 407-7663
UNIVERSITY OF TULSA
Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Tulsa County (918) 631-2617
SYDNEY CARLEEN ROBINSON
Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Tulsa County (918) 631-2619
TAMAURI GOODE
Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Tulsa County (918) 631-2619
BAILEY MARIE RATCLIFF
Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Tulsa County (918) 631-2619
ALLISON KATE MODGLIN
Specialist/Technologist (Athletic Trainer)
1215 S BOULDER AVE
TULSA, OK 74119
Tulsa County (918) 631-2619
JULIA SUSAN ADORJAN-MERTENSMEYER
Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Tulsa County (918) 631-2619

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 Jackson Grant's NPI number?

The NPI number for Jackson Grant is 1083448724. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Where is Jackson Grant located?

Jackson Grant practices at 1215 S Boulder Ave, Tulsa, OK 74119. The listed phone number is (918) 631-2619.

What is Jackson Grant's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jackson Grant was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.