Search › Oklahoma › 106S00000X
Tracy Jackson
NPI 1639611486 · on the registry since 2016
Practice
- Address
- 412 S Central Ave
Idabel, OK 74745 - Phone
- (580) 286-6671
- Fax
- (580) 286-5747
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-10
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