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MRS. TIMBER LAINE JACKSON FNP-C
NPI 1164021150
Nurse Practitioner - Family in Tuttle, OK

Active since October 20, 2020
1391 COUNTY ROAD 1215, TUTTLE, OK 73089(405) 412-5862 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Timber Laine Jackson Fnp-c NPPES

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

MRS. TIMBER LAINE JACKSON FNP-C (NPI 1164021150) is an individual family provider in Tuttle, Oklahoma, licensed in Oklahoma (98752) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1164021150
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TIMBER LAINE JACKSONCredential: FNP-C
Location Address1391 COUNTY ROAD 1215Tuttle, OK 73089-3047
Mailing Address1391 County Road 1215Tuttle, OK 73089-3047 · (405) 412-5862
Phone(405) 412-5862
Sole ProprietorNo
Enumeration DateOctober 20, 2020
NPPES CertifiedOctober 20, 2020
✔ NPI 1164021150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 98752
1391 COUNTY ROAD 1215, Tuttle, OK 73089
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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 Timber Jackson's NPI number?

The NPI number for Timber Jackson is 1164021150. It was assigned to this individual provider in the NPPES registry on October 20, 2020.

Where is Timber Jackson located?

Timber Jackson practices at 1391 County Road 1215, Tuttle, OK 73089. The listed phone number is (405) 412-5862.

What is Timber Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Timber Jackson was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.