SearchOklahoma101YM0800X

Latrice Jackson

NPI 1275800997 · on the registry since 2011

Practice

Address
1415 E 10th St
2425 Lenore St.
Shawnee, OK 74801
Phone
(405) 382-7623

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Female
Record last updated
2016-01-21

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