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

Individual provider Specialist · NPI 1477849826

Stacey Jo Jackson, BHRS is a Specialist in Idabel, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
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Practice location Address checks out

17 S Central Ave
Idabel, OK 74745-4625
Phone: (580) 306-0303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1477849826
Entity typeIndividual (Type 1)
GenderFemale
Credentials BHRS
Sole proprietorYes
NPI enumeratedJune 23, 2011
Last updated in NPPESJune 23, 2011

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