Jackson, Naomi Marie

Jackson, Naomi Marie is an individual health care provider with primary practice located at 8714 Ne 47Th St , Spencer OK 73084-2012. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Jackson, Naomi Marie can be contacted via phone (405) 227-4604.

Contact Information

Primary practice address
8714 Ne 47Th St Spencer OK 73084-2012
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1457034613
LBN Legal business name Jackson, Naomi Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2023
Last updated Aug 14th, 2023 - about 2 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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