Wyanna Jackson

NPI 1427489384 - Counselor - 101YM0800X

NPI Details
NPI 1427489384
Gender Female
Enumeration Date 12/03/2013
Last Updated 12/03/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
5929 N MAY AVE
SUITE 506
OKLAHOMA CITY OK, 73112-3909, US
Phone (405) 370-9882
Fax
Business Location
5929 N MAY AVE
SUITE 506
OKLAHOMA CITY OK, 73112-3909, US
Phone (405) 370-9882
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Wyanna Jackson NPI is 1427489384, taxonomy code is 101YM0800X Wyanna Jackson physically located at 5929 N May Ave, Oklahoma City OK, 73112-3909. NPI Number Wyanna Jackson has the Individual type.

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1427489384 NPI number is provided on an as is basis without warranty of any kind. 1427489384 is maintained by the National Plan & Provider Enumeration System. The contents of Wyanna Jackson are for informational purposes only.