STACEY JO JACKSON BHRS
NPI 1477849826
Specialist in Idabel, OK
- Individual
- Female
- Specialist
About STACEY JACKSON
This page provides the complete NPI Profile along with additional information for Stacey Jackson, a provider established in Idabel, Oklahoma with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1477849826 assigned on June 2011. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1477849826 Verify this NPI
- Provider Name
- STACEY JO JACKSON BHRS
- Other Name
- STACEY JO ROSS
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 17 S CENTRAL AVE IDABEL, OK 74745
- Location Phone
- (580) 306-0303
- Mailing Address
- RR 3 BOX 421 BROKEN BOW, OK 74728
- Mailing Phone
- (580) 306-0303
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-23-2011
- Last Update Date
- 06-23-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
IDABEL, OK 74745
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477849826, enumerated as an "individual" on June 23, 2011.
The provider is located at 17 S CENTRAL AVE IDABEL, OK 74745 and the phone number is (580) 306-0303.
Specialist with taxonomy code 174400000X.
