Raynisha Jackson
Raynisha Jackson is a Case Management Agency in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
4907 S 73rd East Ave Unit 4Tulsa, OK 74145-6741
Phone: (305) 713-2623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Management Agency (primary) | Taxonomy 251B00000X |
|---|
Record details
| NPI number | 1003509175 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 2, 2023 |
| Last updated in NPPES | June 2, 2023 |
| Certification date | June 2, 2023 |
| Mailing address | 4907 S 73rd East Ave Unit 4, Tulsa, OK 74145-6741 |
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