Cedar Jackson, ARNP is a
Nurse Practitioner - Women's Health based in Tinker Afb, Oklahoma. Cedar Jackson is licensed to practice in Oklahoma (license number R 0055120) and her current practice location is
7050 Air Depot Blvd, Tinker Afb, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 582-6146.
NPI number for Cedar Jackson is 1336354125 and her current mailing address is 4031 Michael Rd, Edmond, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336354125.
Provider's Profile
| Full Name | Cedar Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Women's Health |
|---|
| Location | 7050 Air Depot Blvd, Tinker Afb, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336354125
- Provider Enumeration Date: 05/14/2007
- Last Update Date: 05/01/2018
Medical Identifiers
Medical identifiers for Cedar Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336354125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LW0102X | Nurse Practitioner - Women's Health | R 0055120 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cedar Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Cedar Jackson, ARNP
4031 Michael Rd,
Edmond, OK 73025
Ph: (405) 359-5690 | Cedar Jackson, ARNP
7050 Air Depot Blvd,
Tinker Afb, OK 73145
Ph: (405) 582-6146 |
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