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MARSHELLEN DENISE JACKSON
NPI 1124972088
Counselor - Mental Health in Lawton, OK

Active since February 25, 2026
4417 W GORE BLVD STE 2, LAWTON, OK 73505(580) 956-4827 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marshellen Denise Jackson NPPES

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

MARSHELLEN DENISE JACKSON (NPI 1124972088) is an individual mental health provider in Lawton, Oklahoma, licensed in Oklahoma (12665) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1124972088
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARSHELLEN DENISE JACKSON
Location Address4417 W GORE BLVD STE 2Lawton, OK 73505-5978
Mailing Address6117 Sw Park PlLawton, OK 73505-7731
Phone(580) 956-4827
Sole ProprietorYes
Enumeration DateFebruary 25, 2026
NPPES CertifiedFebruary 25, 2026
✔ NPI 1124972088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OK · 12665
4417 W GORE BLVD STE 2, Lawton, OK 73505
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Other Providers at the Same Location NPPES

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

DARYL E. BIRDWELL, M.D., INC.
Family Medicine
4417 W GORE BLVD STE 2
LAWTON, OK 73505
Comanche County (580) 248-7417

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 Marshellen Jackson's NPI number?

The NPI number for Marshellen Jackson is 1124972088. It was assigned to this individual provider in the NPPES registry on February 25, 2026.

Where is Marshellen Jackson located?

Marshellen Jackson practices at 4417 W Gore Blvd Ste 2, Lawton, OK 73505. The listed phone number is (580) 956-4827.

What is Marshellen Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Marshellen Jackson was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.