SearchOklahoma101Y00000X

Deetra Jackson

NPI 1326485582 · on the registry since 2013

Practice

Address
411 S Central Ave
Idabel, OK 74745
Phone
(580) 286-5045
Fax
(580) 286-5721
Organisation at this address
Sequelcare Of Oklahoma, Llc
Sequelcare Of Oklahoma, Llc
Sequelcare Of Oklahoma, Llc
Brighter Heights Oklahoma, Llc
Brighter Heights Oklahoma, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Female
Record last updated
2013-05-29

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 Oklahoma