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MELONIE JACKSON
NPI 1700277704
Counselor - Mental Health in Wilburton, OK

Active since February 11, 2015
700 NW 1018TH AVE, WILBURTON, OK 74578(918) 448-0937 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melonie Jackson NPPES

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

MELONIE JACKSON (NPI 1700277704) is an individual mental health provider in Wilburton, Oklahoma and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1700277704
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMELONIE JACKSON
Location Address700 NW 1018TH AVEWilburton, OK 74578-6605
Mailing Address700 Nw 1018th AveWilburton, OK 74578-6605
Phone(918) 448-0937
Sole ProprietorYes
Enumeration DateFebruary 11, 2015
✔ NPI 1700277704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
700 NW 1018TH AVE, Wilburton, OK 74578
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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 Melonie Jackson's NPI number?

The NPI number for Melonie Jackson is 1700277704. It was assigned to this individual provider in the NPPES registry on February 11, 2015.

Where is Melonie Jackson located?

Melonie Jackson practices at 700 NW 1018th Ave, Wilburton, OK 74578. The listed phone number is (918) 448-0937.

What is Melonie 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 Melonie Jackson was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.