Spencer Jackson
Spencer Jackson is a Peer Specialist in Pryor, Oklahoma. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
109 N Fairland StPryor, OK 74361-4205
Phone: (918) 825-1405
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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 | 1164185484 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 14, 2021 |
| Last updated in NPPES | October 14, 2021 |
| Certification date | October 14, 2021 |
| Mailing address | 109 N Fairland St, Pryor, OK 74361-4205 |
Other providers in Pryor
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George Thomas Heflin
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109 N Fairland St, Pryor, OK 74361-4205 · (479) 220-5002
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109 N Fairland St, Pryor, OK 74361-4203 · (918) 825-1405