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Misty Jackson

NPI 1154239366 · on the registry since 2026 · sole proprietor

Practice

Address
4022 S Cabot Rd
Carpenter, WY 82054
Phone
(307) 287-0818

Registry record

Primary taxonomy
251C00000X
251C00000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-29

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 Wyoming