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

Mrs. Jackie Dee Stafford, APRN

Individual provider Family Medicine Physician · NPI 1568763019

Mrs. Jackie Dee Stafford, APRN is a Nurse Practitioner in Tulsa, Oklahoma. Qualified in 2010, 16 years ago. Practices with Hospital Physician Services - Southeast Professional Corporation, a 824-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and Oklahoma.

Years since qualifying
16
Licensed in
MS, OK
In the registry since
2010
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone: (918) 502-1900
Fax: (918) 494-6303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11150 Highway 49, Gulfport, MS 39503 — (228) 831-1700

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 813602 (MS)
Family Medicine Physician Taxonomy 207Q00000X · Licence 111885 (OK)

Record details

NPI number1568763019
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedNovember 14, 2010
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Hospital Physician Services - Southeast Professional Corporation — 824 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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