Jackson, Kimethria Laurie

Jackson, Kimethria Laurie is an individual health care provider with primary practice located at 1201 Arlington St Suite B, Ada OK 74820-4072. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Kimethria Laurie can be contacted via phone (580) 436-1526.

Contact Information

Primary practice address
1201 Arlington St Suite B Ada OK 74820-4072
Phone: (580) 436-1526
Fax: (580) 436-1354
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R0046831 Oklahoma

Profile Details

NPI number 1962441170
LBN Legal business name Jackson, Kimethria Laurie
Credentials MSN, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 9th, 2007 - about 19 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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