IndividualActive
Donnelle Jackson
NPI 1639831092 · Student in an Organized Health Care Education/Training Program · Tulsa, OK
Provider details
- NPI number
- 1639831092
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1111 W 17th St
Tulsa, OK 74107-1886
Phone: (337) 540-1808
Street-level locationGet directions
Mailing address
1111 W 17th St
Tulsa, OK 74107-1886
Registry dates
- Enumerated
- 2021-10-12
- Last updated
- 2021-10-12
- Certified
- 2021-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.