MALARIE JACKSON


Address: 609 W. Memorial Rd., Oklahoma City, OK 73114
Phone: 4054185400

MALARIE JACKSON (NPI# 1285056887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285056887
Entity Type Individual
Full Name MALARIE JACKSON
Practice Address 609 W. Memorial Rd.
Oklahoma City
OK 73114
Mailing Address 609 W. Memorial Rd
Oklahoma City
OK 73114
Practice Telephone 4054185400
Mailing Telephone 4054185400
Enumeration Date 2014-01-16
Last Update Date 2015-10-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
98159 OK Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 609 W. MEMORIAL RD.
City OKLAHOMA CITY
State OK
Zip Code 73114

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124669783 Heather Williams Occupational Therapist 1404 Nw122nd St, Oklahoma City, OK 73114 2019-10-04
1477194033 Shonta Jones Technician 10723 Norh Western, Apartment G, Oklahoma City, OK 73114 2019-10-04
1023537644 Tracye Carter Registered Nurse 812 Nw 121 Terr, Oklahom City, OK 73114 2017-09-14
1003362849 Randy Joshua Williamson Behavioral Analyst 101 Bainbridge Rd, Oklahoma City, OK 73114 2016-08-31
1427413368 John Adrian Howard Physical Therapist 13100 N Western Ave Ste 302, Oklahoma City, OK 73114 2015-12-18
1497150197 Payam Ishani Afousi Dentist 9405 N. Penn Place, Casady Square, Oklahoma City, OK 73114 2014-10-24
1922407386 Kelvin Hughes Counselor 1400 Nw 105th Ter, Oklahoma City, OK 73114 2014-08-21
1508108705 Adam Liberty Community/Behavioral Health 428 N.w 81st, Oklahoma City, OK 73114 2013-03-26
1780926345 Michelle D Hardimon Behavioral Analyst 700 Ne 122nd Apt 4509, Oklahoma City, OK 73114 2013-03-21
1720325533 Saints Medical Group, LLC Dermatology 9720 Broadway Extension, Oklahoma City, OK 73114 2013-01-14
Find all providers in zip 73114

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700483302 Terri Lynn Quintero Nurse Practitioner 15701 S Pennsylvania Ave, Oklahoma City, OK 73170-8713 2020-10-06
1952917239 Philomina Philipose Nurse Practitioner 8805 Nw 116th St, Oklahoma City, OK 73162-2220 2020-09-21
1376158295 Ligi Abraham Nurse Practitioner 4200 W Memorial Rd Ste 206, Oklahoma City, OK 73120-8305 2020-09-09
1487266532 Carla Jo Walker Nurse Practitioner 1325 N Walker Ave Apt 357, Oklahoma City, OK 73103-6409 2020-08-20
1396356143 Deshell Ravette Tillman Nurse Practitioner 2621 N Sterling Ave, Oklahoma City, OK 73127-1919 2020-08-14
1225656549 Simon Wellness LLC Nurse Practitioner 9321 Sw 23rd St, Oklahoma City, OK 73128-1840 2020-07-13
1831717396 Caitlin Raylynn Stenberg Nurse Practitioner 1000 N Lincoln Blvd Ste 3200, Oklahoma City, OK 73104-3252 2020-07-10
1467078113 Jaanki Bhakta Nurse Practitioner 9116 Sw 24th St, Oklahoma City, OK 73128-4903 2020-06-18
1629699244 Tanya Cates Nurse Practitioner 5529 Bush Creek Way, Oklahoma City, OK 73117-8440 2020-05-05
1922629054 Heather Amanda Chin Hwa Rutledge Nurse Practitioner 7800 Sw 87th Cir, Oklahoma City, OK 73169-7800 2020-04-29
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73114

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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