NPI 1053769927
Kadian Jackson
Practice location
- Address
- 4301 Wilson St McU, Lawton, OK 73503-4472
- Phone
- (580) 558-2662
- Mailing address
- 4301 Wilson St, Lawton, OK 73503-4472
Registered specialties
Licensed Vocational Nurse
Primary
Registry record
- NPI
- 1053769927
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Jun 2016
- Record last updated
- 1 Jun 2016
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.