Jackson, Paula

Jackson, Paula is an individual health care provider with primary practice located at 101 N Union Ave , Shawnee OK 74801-7067. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Jackson, Paula can be contacted via phone (405) 424-7711.

Contact Information

Primary practice address
101 N Union Ave Shawnee OK 74801-7067
Phone: (405) 424-7711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1568093839
LBN Legal business name Jackson, Paula
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2020
Last updated Aug 20th, 2021 - about 4 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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