Marnie Jackson

NPI 1205114683 · on the registry since 2011 · sole proprietor

Practice

Address: 4528 S Sheridan Rd
Tulsa, OK 74145
Phone: (918) 698-0493
Organisation at this address: Smile Center, Inc.
Ace Dui School, Inc.
Ace Addiction Recovery
Ps&A Case Management & Provider Agency
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-08-27

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