LETITIA LYNN JACKSON APRN-CNP NPI 1063812634

NPI Details

Letitia Lynn Jackson, APRN-CNP is a family nurse practitioner in Pauls Valley, OK with 12 years of experience. Letitia Lynn Jackson, APRN-CNP NPI is 1063812634. 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:

2000 W GRANT AVE STE 2
PAULS VALLEY, OK
ZIP 73075-234
Phone: (405) 238-3900
Fax: (405) 238-3903

The NPI 1063812634 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
• Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
• Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
• Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Injection of drug or substance under skin or into muscle (HCPCS:96372)
• Automated urinalysis test (HCPCS:81003)
• Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)

The enumeration date for this NPI number is 9/2/2014 and was last updated on 1/15/2024.

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: