Individual provider Active NPI

Jessica Nell Howard Mack, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Del City, OK
National Provider Identifier
1811856891
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
229953 Issued in OK
Practice address
4330 SE 29TH St Ste 3018
Del City, OK 73115-3335
Phone
(405) 670-8100
Fax
(405) 670-8558
NPI assigned
Jan 16, 2026
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 229953 OK Primary

Addresses

Primary practice location

4330 SE 29TH St Ste 3018
Del City, OK 73115-3335

Mailing address

4330 SE 29TH St Ste 3018
Del City, OK 73115-3335
Phone (405) 670-8100

Other practice location 1

4001 Wagon Wheel Rd
Springdale, AR 72762-0137
Phone (479) 725-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Industrial Medicine LLC Single Specialty PastSince Oct 29, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1811856891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 SE 29TH ST STE 3018",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731153335",
            "telephone_number": "405-670-8100",
            "fax_number": "405-670-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 SE 29TH ST STE 3018",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731153335",
            "telephone_number": "405-670-8100",
            "fax_number": "405-670-8558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 Wagon Wheel Rd",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727620137",
            "country_code": "US",
            "telephone_number": "479-725-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD MACK",
        "first_name": "JESSICA",
        "middle_name": "NELL",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "229953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.