Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kylee Mishelle Jackson, NNP-BC

Individual provider Family Nurse Practitioner · NPI 1013771161

Kylee Mishelle Jackson, NNP-BC is a Family Nurse Practitioner in Tulsa, Oklahoma. Works from 3 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2024
Specialties on file
2

Practice location Address checks out

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone: (918) 502-6097
Fax: (918) 502-6046
Show map & directions

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

Additional practice locations (2)

  • 300 Rockefeller Dr, Muskogee, OK 74401-5075 — (918) 502-6097
  • 10501 E 91st St, Tulsa, OK 74133-5790 — (918) 502-6097

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence 216736 (OK)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 216736 (OK)

Record details

NPI number1013771161
Entity typeIndividual (Type 1)
GenderFemale
Credentials NNP-BC
Sole proprietorNo
NPI enumeratedFebruary 9, 2024
Last updated in NPPESNovember 5, 2026
Certification dateNovember 5, 2026

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