Tandi Lynn Jackson
Individual provider Active NPI Personal Care Attendant · Howe, OK
NPI 1063995199 · NPPES record last updated Sep 14, 2018
Key facts
- NPI
- 1063995199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 21444 East N Railroad
Howe, OK 74940 - Phone
- (918) 658-3508
- NPI assigned
- Sep 14, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
21444 East N Railroad
Howe, OK 74940
Mailing address
21444 East N Railroad
Howe, OK 74940
Phone (918) 658-3508
Other providers in Howe, OK
- Stana Hardy
- Charles Wayne Holt
- Howe Public Schools
- Kay Huddleston
- Sharon Denise Hyde
- Beckie Johnson
- Hope Johnson
- Rachel Kardokus
- Robert Gene Keen
- Shawnda Lister
All providers in Howe, OK · Personal Care Attendant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.