Jackson, Kaci Lynn

Jackson, Kaci Lynn is an individual health care provider with primary practice located at 6151 S Yale Ave Ste 100A , Tulsa OK 74136-1929. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Jackson, Kaci Lynn can be contacted via phone (918) 494-8500.

Contact Information

Primary practice address
6151 S Yale Ave Ste 100A Tulsa OK 74136-1929
Phone: (918) 494-8500
Fax: (918) 307-5578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R0066985 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R0066985 Oklahoma

Profile Details

NPI number 1144405937
LBN Legal business name Jackson, Kaci Lynn
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2007
Last updated Oct 26th, 2023 - about last year

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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