Search › Oklahoma › 207VX0201X
Camille Jackson, M.D
NPI 1700046943 · on the registry since 2008 · sole proprietor
Practice
- Address
- 4401 Mcauley Blvd Ste 2200
Oklahoma City, OK 73120 - Phone
- (405) 749-7023
- Fax
- (405) 749-7025
- Organisation at this address
- Mhm Support Services
Mercy Pharmacy Services, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 207VX0201X
207VX0201X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-27
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