Aleka Jaquaya Jackson Valid NPI

Individual provider · Licensed Practical Nurse · Edmond, OK

NPI

1649084765

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

L0058007 (OK)

Sex

Female

Sole proprietor

No

Enumerated

2025-02-07

Last updated

2025-07-07