MRS. MIARANDA LINN JACKSON NPI 1023769205

NPI Information

MRS. Miaranda Linn Jackson is a peer specialist in Claremore, OK. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. MRS. Miaranda Linn Jackson NPI is 1023769205. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3100 MEDICAL PKWY
CLAREMORE, OK
ZIP 74017-088
Phone: (918) 342-0770

The enumeration date for this NPI number is 1/10/2022 and was last updated on 1/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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