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

Kelly Jackson-Reavis

Individual provider Licensed Practical Nurse · NPI 1427559574

Kelly Jackson-Reavis is a Licensed Practical Nurse in Lawton, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2018.

Licensed in
OK
In the registry since
2018

Practice location Address checks out

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone: (580) 354-5000
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence L0061345 (OK)

Record details

NPI number1427559574
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 23, 2018
Last updated in NPPESFebruary 23, 2018

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