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BRENT JACKSON
Acute Care Nurse Practitioner
NPI: 1245967405IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
96391(OK)
Acute Care Nurse PractitionerPrimary
Nurse Practitioner — Acute Care
Code: 363LA2100X
210172(OK)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2022
Contact & Hours
- Address
- 2377 COUNTY ROAD 1201
TUTTLE, OK 73089 - Phone
- (405) 412-3213
Quick Facts
- NPI
- 1245967405
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 4
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