Jackie Latham, | |
3080 W 3rd St, Elk City, OK 73644-4323 | |
(405) 424-7711 | |
Not Available |
Full Name | Jackie Latham |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 3080 W 3rd St, Elk City, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588345946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | L0056982 (Oklahoma) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jackie Latham, Po Box 252, Carter, OK 73627-0252 Ph: () - | Jackie Latham, 3080 W 3rd St, Elk City, OK 73644-4323 Ph: (405) 424-7711 |
Robin Smith, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3080 W 3rd St, Elk City, OK 73644 Phone: 405-424-7711 | |
Amy Battles, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3080 W 3rd St, Elk City, OK 73644 Phone: 405-424-7711 |