Demetra Shan Jackson B.S.

  • NPI 1619228095
According to our database, the NPI number for Demetra Shan Jackson B.S. is 1619228095 and activated since 11 years ago. Demetra Shan Jackson B.S. is an individual provider who specializes in Mental Health, and the primary practice location is 1116 Sw 59th St Apt 1, Oklahoma City, OK 73109. You can also contact Demetra Shan Jackson B.S. via telephone number is (405) 618-9411. Provider NPI information was last updated on 09/26/2012.

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Overview of Demetra Shan Jackson B.S.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 09/26/2012
  • Last updated: 09/26/2012

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 1116 Sw 59th St Apt 1
    Oklahoma City, OK 73109
  • Phone: 405-618-9411
  • Fax:

Provider Practice Location

  • Address: 1116 Sw 59th St Apt 1
    Oklahoma City, OK 73109
  • Phone: 405-618-9411
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Demetra Shan Jackson B.S.?
  • A: The npi number for Demetra Shan Jackson B.S. is 1619228095.
  • Q: What are Demetra Shan Jackson B.S.'s specialties?
  • A: Demetra Shan Jackson B.S.'s specialties are Mental Health and different specialities.
  • Q: What is the medical license for Demetra Shan Jackson B.S.?
  • A: The medical license number for Demetra Shan Jackson B.S. is unknow and issued in unknow in USA.
  • Q: Where is Demetra Shan Jackson B.S. practice location?
  • A: Demetra Shan Jackson B.S. is practicing at 1116 Sw 59th St Apt 1, Oklahoma City, OK 73109.
  • Q: How to contact Demetra Shan Jackson B.S.?
  • A: You can contact Demetra Shan Jackson B.S. via 405-618-9411.