ANASTASIA JACKSON

OKLAHOMA CITY, OK
NPI1740835966
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  M135050)
Additional Taxonomies163W00000X Registered Nurse
(Licence: TX  943949)
Enumeration Date2019-08-05
Last Update Date2022-04-06
Business Address
ANASTASIA JACKSON CRNA
920 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104-5036
Phone number: 405-271-4351
Mailing Address
ANASTASIA JACKSON CRNA
5833 S 79TH EAST AVE
TULSA, OK 74145-8656
Phone number: 310-795-3752