Search › Oklahoma › 171M00000X
Glenn Jackson
NPI 1134448913 · on the registry since 2010 · sole proprietor
Practice
- Address
- 6736 S Peoria Ave Apt 221
Tulsa, OK 74136 - Phone
- (918) 402-9235
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Male
- Record last updated
- 2010-05-19
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