JESSICA ELISE JACKSON

MOORE, OK
NPI1023553187
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  2725)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2016-12-28
Last Update Date2020-01-16
Business Address
Mrs. JESSICA ELISE JACKSON PA-C
2109 S SANTA FE AVE
MOORE, OK 73160-2807
Phone number: 405-213-0256
Mailing Address
Mrs. JESSICA ELISE JACKSON PA-C
12220 GREENLEA CHASE W
OKLAHOMA CITY, OK 73170-6010
Phone number: 405-761-3256
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