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

Kealah Nicole Jackson

Individual provider Driver · NPI 1821885229

Kealah Nicole Jackson is a Driver in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2025.

Licensed in
OK
In the registry since
2025

Practice location Address checks out

4016 SE 48th St
Oklahoma City, OK 73135-2202
Phone: (405) 931-8552
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence A088146885 (OK)

Record details

NPI number1821885229
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 21, 2025
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025

Other providers in Oklahoma City