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Amanda Jackson — NPI 1376041202, Sallisaw, OK | NPI Central

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Amanda Jackson

NPI 1376041202 · Peer Specialist · Sallisaw, OK

Provider details

NPI number: 1376041202
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Female
Sole proprietor: No

Practice location

205 S Jt Stites

Sallisaw, OK 74955-9301

Phone: (918) 775-7787

Fax: (918) 775-0328

More OK providers

Mailing address

210 N Jt Stites

Sallisaw, OK 74955-9301

Registry dates

Enumerated: 2018-01-25
Last updated: 2018-01-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.