Brent Jackson
Brent Jackson is a Nurse Practitioner in Tuttle, Oklahoma. Qualified in 2022, 4 years ago. Practices with Sutter Bay Hospitals, a 69-clinician group and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 4
- Licensed in
- OK
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
2377 County Road 1201Tuttle, OK 73089-1067
Phone: (405) 412-3213
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 210172 (OK) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 96391 (OK) |
Record details
| NPI number | 1245967405 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 6, 2022 |
| Last updated in NPPES | September 4, 2022 |
| Certification date | September 4, 2022 |
| Mailing address | 2377 County Road 1201, Tuttle, OK 73089-1067 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Sutter Bay Hospitals — 69 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |