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STACEY JO JACKSON BHRS
NPI 1477849826
Specialist in Idabel, OK

Active since June 23, 2011
17 S CENTRAL AVE, IDABEL, OK 74745(580) 306-0303 Get Directions Write a Review

NPPES record last updated: June 23, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacey Jo Jackson Bhrs NPPES

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

STACEY JO JACKSON BHRS (NPI 1477849826) is an individual specialist in Idabel, Oklahoma and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1477849826
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSTACEY JO JACKSONCredential: BHRS
Location Address17 S CENTRAL AVEIdabel, OK 74745-4625
Mailing AddressRr 3 Box 421Broken Bow, OK 74728-9204 · (580) 306-0303
Phone(580) 306-0303
Sole ProprietorYes
Enumeration DateJune 23, 2011
✔ NPI 1477849826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
17 S CENTRAL AVE, Idabel, OK 74745
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Other Names 1

Other Name (5)Stacey Jo Ross

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. DEBORAH ANNETTE NELSON BS, MED
Specialist
17 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-5184
TINA SIMER
Counselor
17 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-5184
DENISE K KUYKENDALL CM
Case Manager/Care Coordinator
17 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-5184
BRANDY T HICKERSON MED, PSYCHOLOGIST
Counselor (Professional)
17 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-5184
LISA HARDAWAY
Behavior Technician
17 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 353-9726
MISS LASHAY MICKLE SIMS
Counselor
17 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-5184
GLENDA K MITCHELL BA, PSRS
Specialist
17 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-5184
WENDY LYNN BURGE
Peer Specialist
17 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (940) 328-2771

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 Stacey Jackson's NPI number?

The NPI number for Stacey Jackson is 1477849826. It was assigned to this individual provider in the NPPES registry on June 23, 2011. The provider is also known as Stacey Jo Ross.

Where is Stacey Jackson located?

Stacey Jackson practices at 17 S Central Ave, Idabel, OK 74745. The listed phone number is (580) 306-0303.

What is Stacey Jackson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Stacey Jackson was last updated on June 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.