MR. KARIS LAVON JACKSON NPI 1073887808

NPI Information

NPI: 1073887808
Provider Name: MR. KARIS LAVON JACKSON
Classification: Specialist/Technologist, Other - 246ZE0600X
Entity Type: Individual

Specialization: Electroneurodiagnostic

Address:
218 S 182ND EAST AVE
TULSA, OK
ZIP 74108
Phone: (918) 691-8579
Get Directions

MR. Karis Lavon Jackson is an electroneurodiagnostic specialist technologist other in Tulsa, OK. MR. Karis Lavon Jackson NPI is 1073887808. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

218 S 182ND EAST AVE
TULSA, OK
ZIP 74108-133
Phone: (918) 691-8579

The enumeration date for this NPI number is 2/24/2012 and was last updated on 2/24/2012.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246ZE0600X	Specialist/Technologist, Other	Electroneurodiagnostic	1194001412	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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