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KEALAH NICOLE JACKSON
NPI 1821885229
Driver in Oklahoma City, OK

Active since April 21, 2025
4016 SE 48TH ST, OKLAHOMA CITY, OK 73135(405) 931-8552 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kealah Nicole Jackson NPPES

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

KEALAH NICOLE JACKSON (NPI 1821885229) is an individual driver provider in Oklahoma City, Oklahoma, licensed in Oklahoma (A088146885) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1821885229
Entity TypeIndividualFemale
Primary Taxonomy172A00000X
Provider Legal NameKEALAH NICOLE JACKSON
Location Address4016 SE 48TH STOklahoma City, OK 73135-2202
Mailing Address416 W 15th St Ste 600Edmond, OK 73013-3672 · (405) 562-6072
Phone(405) 931-8552
Sole ProprietorNo
Enumeration DateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1821885229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in OK · A088146885
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
4016 SE 48TH ST, Oklahoma City, OK 73135
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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 Kealah Jackson's NPI number?

The NPI number for Kealah Jackson is 1821885229. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Kealah Jackson located?

Kealah Jackson practices at 4016 SE 48th St, Oklahoma City, OK 73135. The listed phone number is (405) 931-8552.

What is Kealah Jackson's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Kealah Jackson was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.