Carl Jackson, PA-C

NPI 1902263270 · on the registry since 2016

Practice

Address: 8801 S 101st East Ave
Tulsa, OK 74133
Phone: (918) 579-6090
Organisation at this address: Gr Group
Southcrest Llc
Ahs Southcrest Hospital, Llc
Ahs Southcrest Hospital, Llc
Southcrest Anesthesia Group Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 51

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-01-18

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