| Whitney Nichole Burgess-jackson, | |
|
1805 S Santa Fe Ave, Bartlesville, OK 74003-6140 | |
| (918) 440-6970 | |
| Not Available |
| Full Name | Whitney Nichole Burgess-jackson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1805 S Santa Fe Ave, Bartlesville, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710267752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Ou Health Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Whitney Nichole Burgess-jackson, 3524 Huntsman Rd, Edmond, OK 73003-3526 Ph: (918) 440-6970 | Whitney Nichole Burgess-jackson, 1805 S Santa Fe Ave, Bartlesville, OK 74003-6140 Ph: (918) 440-6970 |
Brianne Lauren Herron, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 700 S Penn Ave, Bartlesville, OK 74003 Phone: 918-337-8080 | |
Mrs. Carlene Betty Zimmerman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 513 Se Quapaw, Grand Lake Mental Health Center, Bartlesville, OK 74003 Phone: 918-337-8080 Fax: 918-337-8099 | |
Katelyn Abrams, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 700 S Penn Ave, Bartlesville, OK 74003 Phone: 918-337-8080 Fax: 918-337-8099 | |
Kerry T Harlin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 S Penn Ave, Bartlesville, OK 74003 Phone: 918-337-8080 Fax: 918-337-8099 | |
Ms. Alexandra Lies Thorn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 117 W 5th St, Suite 403, Bartlesville, OK 74003 Phone: 918-336-3626 Fax: 918-336-3626 | |
Kelly Jane Huckleby, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 S Penn Ave, Bartlesville, OK 74003 Phone: 844-458-2100 | |
Marilou G. Bork, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2334 London Ln, Bartlesville, OK 74006 Phone: 918-230-8831 |