Whalio Doctors

NPI 1043944754

Kameron R Jackson

Practitioner Peer Specialist Tecumseh, OK

Practice location

Address
24962 Okay Rd, Tecumseh, OK 74873-6504
Phone
(817) 372-5098
Mailing address
1300 Crown Point Ave APT 21, Norman, OK 73072-5866

Registered specialties

Peer Specialist Primary
Other Service Providers Taxonomy 175T00000X

Registry record

NPI
1043944754
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Jul 2022
Record last updated
11 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.