NPI 1063761252
Priscilla Jacky
Practice location
- Address
- 1411 W Aries Rd, Edmond, OK 73003-5827
- Phone
- (405) 223-0457
Registered specialties
Rehabilitation Psychologist
Primary
Registry record
- NPI
- 1063761252
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Sep 2012
- Record last updated
- 3 Sep 2012
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.