Michael Paul Jackson
Michael Paul Jackson is a Peer Specialist in Stillwater, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1624 Cimarron PlzStillwater, OK 74075-3467
Phone: (405) 372-2202
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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 number | 1770234452 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 13, 2022 |
| Last updated in NPPES | January 13, 2022 |
| Certification date | January 13, 2022 |
| Mailing address | 201 S Linwood Ave, Cushing, OK 74023-4210 |
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Karrah Hope Jiles
1624 Cimarron Plz, Stillwater, OK 74075-3467 · (844) 458-2100