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

Individual provider Occupational Therapy Assistant · NPI 1790155042

Nicole Dexter Jackson, OTA is an Occupational Therapy Assistant in Claremore, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2015
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Practice location Address checks out

3001 W Blue Starr Dr
Claremore, OK 74017-2544
Phone: (918) 342-5432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 614 (OK)

Record details

NPI number1790155042
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA
Sole proprietorYes
NPI enumeratedSeptember 29, 2015
Last updated in NPPESOctober 1, 2015

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