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

Tyler Mason Jackson

Individual provider Peer Specialist · NPI 1811739410

Tyler Mason Jackson is a Peer Specialist in Sapulpa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

11680 S 153rd West Ave
Sapulpa, OK 74066-8564
Phone: (918) 639-4684
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1811739410
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 12, 2024
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024
Mailing address1470 W Burnham Ave, Sapulpa, OK 74066-6605

Other providers in Sapulpa