Search › Oklahoma › 363A00000X
Jessica Jackson, PA-C
NPI 1023553187 · on the registry since 2016
Practice
- Address
- 2109 S Santa Fe Ave
Moore, OK 73160 - Phone
- (405) 213-0256
- Clinicians at this address
- 2
Additional practice sites
- 2525 Nw Expressway St Ste 102, Oklahoma City, OK
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma