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

Mr. Karis Lavon Jackson Sr.

Individual provider Electroneurodiagnostic Specialist/Technologist · NPI 1073887808

Mr. Karis Lavon Jackson Sr. is an Electroneurodiagnostic Specialist/Technologist in Tulsa, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2012
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Practice location Address checks out

218 S 182nd East Ave
Tulsa, OK 74108-2133
Phone: (918) 691-8579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X · Licence 1194001412 (OK)

Record details

NPI number1073887808
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 24, 2012
Last updated in NPPESFebruary 24, 2012

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