1. Home
  2. Directory
  3. Oklahoma
  4. Lawton
  5. Licensed Practical Nurse
  6. NPI Profile

KELLY JACKSON-REAVIS
NPI 1427559574
Licensed Practical Nurse in Lawton, OK

Active since February 23, 2018
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507(580) 354-5000 Get Directions Write a Review

NPPES record last updated: February 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Jackson-reavis NPPES

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

KELLY JACKSON-REAVIS (NPI 1427559574) is an individual licensed practical nurse in Lawton, Oklahoma, licensed in Oklahoma (L0061345) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1427559574
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLY JACKSON-REAVIS
Location Address1515 NE LAWRIE TATUM RDLawton, OK 73507-3002
Mailing Address1515 Ne Lawrie Tatum RdLawton, OK 73507-3002 · (580) 354-5000
Phone(580) 354-5000
Sole ProprietorNo
Enumeration DateFebruary 23, 2018
✔ NPI 1427559574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OK · L0061345
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1515 NE LAWRIE TATUM RD, Lawton, OK 73507
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

MS. MARTHA COLLEEN FARLEY D.PH.
Pharmacist
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507
Comanche County (580) 354-5532
CHRISTINA HUTCHINSON RN, WCC, DWC
Registered Nurse (Wound Care)
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507
Comanche County (580) 354-5000
TAMYRA GALLEGOS LPN
Licensed Practical Nurse
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507
Comanche County (580) 354-5000
PATRICIA MANTZKE LPN
Licensed Practical Nurse
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507
Comanche County (580) 354-5000
ARLENE L ISHAM RN
Registered Nurse (Emergency)
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507
Comanche County (580) 354-5000
DR. LYNDEE SPRINGER PHARMD
Pharmacist
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507
Comanche County (580) 354-5000
MRS. NATALIE ANN ROBERTSON
Pharmacist
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507
Comanche County (580) 353-0350
MS. ANGELA BATTESE APRN FNP-C
Nurse Practitioner (Family)
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507
Comanche County (580) 354-5440

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 Kelly Jackson-reavis's NPI number?

The NPI number for Kelly Jackson-reavis is 1427559574. It was assigned to this individual provider in the NPPES registry on February 23, 2018.

Where is Kelly Jackson-reavis located?

Kelly Jackson-reavis practices at 1515 NE Lawrie Tatum Rd, Lawton, OK 73507. The listed phone number is (580) 354-5000.

What is Kelly Jackson-reavis's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kelly Jackson-reavis was last updated on February 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.