IndividualActive
Timber Jackson, FNP-C
NPI 1164021150 · Family Nurse Practitioner · Tuttle, OK
Provider details
- NPI number
- 1164021150
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 98752 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1391 County Road 1215
Tuttle, OK 73089-3047
Phone: (405) 412-5862
Approximate (ZIP-level) locationGet directions
Mailing address
1391 County Road 1215
Tuttle, OK 73089-3047
Registry dates
- Enumerated
- 2020-10-20
- Last updated
- 2020-10-20
- Certified
- 2020-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.