Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Jackson

Individual provider Peer Specialist · NPI 1376041202

Amanda Jackson is a Peer Specialist in Sallisaw, Oklahoma. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

205 S Jt Stites
Sallisaw, OK 74955-9301
Phone: (918) 775-7787
Fax: (918) 775-0328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1376041202
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 25, 2018
Last updated in NPPESJanuary 25, 2018
Mailing address210 N Jt Stites, Sallisaw, OK 74955-9301

Other providers in Sallisaw