Jackson, Jessica Lynn
Jackson, Jessica Lynn is an individual health care provider with primary practice located at 400 E Central Ave , Ponca City OK 74601-5429. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Jackson, Jessica Lynn can be contacted via phone (580) 304-9767.Contact Information
Primary practice address
400 E Central Ave
Ponca City OK 74601-5429
Phone: (580) 304-9767
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 1470 | Oklahoma |
Profile Details
| NPI number | 1588369383 |
|---|---|
| LBN Legal business name | Jackson, Jessica Lynn |
| Credentials | Certified Occupational Therapy Assistant (COTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2023 |
| Last updated | Apr 3rd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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